The nurse is caring for a client with obsessive-compulsive disorder (OCD). Which action by the nurse will increase the client's sense of security?
Stopping the client from performing the rituals.
Allowing the client to perform the rituals.
Encouraging the client to talk about the purpose of the rituals.
Distracting the client from rituals with other activities.
The Correct Answer is B
Choice A reason: Stopping the client from performing rituals can increase anxiety and distress. Rituals are a coping mechanism for individuals with OCD, and abruptly preventing them can lead to a significant increase in anxiety.
Choice B reason: Allowing the client to perform rituals can provide a sense of security and control, which is important for individuals with OCD. Over time, with appropriate therapy, the need for these rituals can be reduced.
Choice C reason: While encouraging the client to talk about the purpose of the rituals can be part of cognitive-behavioral therapy, it may not immediately increase the client's sense of security. This approach is more about understanding and eventually managing the compulsions.
Choice D reason: Distracting the client from rituals with other activities can be a helpful strategy in therapy but may not directly increase the client's sense of security. It can be used as a part of a comprehensive treatment plan to gradually reduce the reliance on rituals.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Teaching relaxation techniques after medication may not be as effective because the client might be under the influence of the medication, which could interfere with learning the techniques.
Choice B reason: Atempting to teach relaxation techniques during a ritual can increase the client's anxiety and resistance, as rituals are often used by individuals with OCD to manage their anxiety.
Choice C reason: While bedtime could be a calm time, it's not specifically targeted towards managing anxiety levels, which is crucial for clients with OCD.
Choice D reason: Teaching relaxation techniques when the client is experiencing low anxiety levels is most beneficial. The client is more likely to be receptive and retain the information, which can then be applied during higher anxiety periods.
Correct Answer is B
Explanation
Choice A reason: Seizure precautions and monitoring vital signs are important but not comprehensive enough for a complete care plan.
Choice B reason: This is the correct choice. It encompasses a broad range of interventions that are critical for a client undergoing alcohol withdrawal, including monitoring for various symptoms, ensuring safety, and administering medications.
Choice C reason: While suicide precautions are important, they are not the only intervention needed for a client in alcohol withdrawal.
Choice D reason: Monitoring vital signs and administering medications are important but do not cover all necessary precautions such as seizure and fall precautions.
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