The nurse plans care for a client newly admitted with obsessive-compulsive disorder who is repeatedly counting magazines in the commons room. Which of the following should the nurse include in the initial plan of care? (Select all that apply.)

Refrain from judgmental comments about counting magazines.

Teach the client how to use the technique of thought stopping.

Assist the client to identify circumstances that increase anxiety.

Remove magazines from the commons room when the client attends a group activity.

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: Avoiding judgmental remarks supports therapeutic rapport and prevents worsening anxiety or defensiveness.

Choice B reason: Teaching coping strategies like thought stopping helps the client begin to manage obsessive behaviors more effectively.

Choice C reason: Identifying triggers for obsessive behaviors allows the nurse and client to develop strategies for prevention and management.

Choice D reason: Removing magazines to prevent counting avoids addressing the underlying compulsion and may increase anxiety. This approach is not appropriate in the initial care plan.

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Correct Answer is A

Explanation

Choice A reason: The nurse’s role is to advocate for the client by collaborating with the healthcare team and ensuring the guardian respects the client’s best interests and personal preferences. This balances autonomy and protection.

Choice B reason: While explaining changes in decision-making is part of education, focusing only on the loss of control without emphasizing advocacy may increase fear and distress.

Choice C reason: Avoiding communication violates therapeutic principles and disregards the client’s dignity. Even if incapable of informed consent, clients should remain included in discussions.

Choice D reason: Treatment cannot proceed without proper consent unless there is an emergency. Acting before guardianship is finalized would violate legal and ethical standards.

A. The role of classical conditioning in developing maladaptive responses. B. The modification of distorted thought patterns to change behavior. C. The use of psychoanalysis to uncover unconscious conflicts influencing behavior. D. The importance of unconditional positive regard, empathy, and fostering client growth.

Correct Answer is D

Explanation

Choice A reason: Classical conditioning is associated with behavioral theory, particularly the work of Pavlov, and is not central to Rogers’ humanistic approach.

Choice B reason: Changing distorted thought patterns reflects cognitive-behavioral therapy, which differs from Rogers’ emphasis on humanistic principles.

Choice C reason: Psychoanalysis focuses on unconscious drives and conflicts, a concept developed by Freud, not Carl Rogers.

Choice D reason: Rogers highlighted unconditional positive regard, empathy, and the belief in a client’s potential for growth as essential to therapeutic relationships, forming the foundation of his humanistic approach.

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The nurse plans care for a client newly admitted with obsessive-compulsive disorder who is repeatedly counting magazines in the commons room. Which of the following should the nurse include in the initial plan of care? (Select all that apply.)

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Correct Answer is A

Explanation

Carl Rogers emphasized a humanistic approach in mental health nursing. Which of the following core concepts is central to his theory and therapeutic work?

Correct Answer is D

Explanation

A nurse is teaching a client at a prenatal clinic. The client shares that they have family members diagnosed with schizophrenia and wants to know how they can reduce their baby's risk of developing schizophrenia. Which of the following information should the nurse include?

A 28-year-old client with a diagnosis of Avoidant Personality Disorder tells the nurse, "I want to make friends. I'm too afraid they'll laugh at me or think I'm weak." Which nursing intervention is most appropriate to help this client begin developing healthier interpersonal relationships?

A 52-year-old male with a long history of alcohol use disorder is admitted to the hospital and begins showing signs of Delirium Tremens, including agitation, tremors, tachycardia, and hallucinations. Which medication should the nurse anticipate administering to manage these symptoms?

A nurse is caring for a child whose guardians report that the child is consistently unable to speak during class and other social situations. The nurse should identify that the child is experiencing which of the following anxiety disorders?

Which of the following best describes the primary function of the parietal lobe of the brain?

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The nurse is developing a plan of care for a 16-year-old client with bulimia nervosa. Which interventions would be included in the plan of care? (Select all that apply.)

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