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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Assigning leadership in a group setting may overwhelm a patient with schizoid personality disorder, as they are uncomfortable with close social interactions. This approach could increase withdrawal.
Choice B reason: Confrontation about avoidance behaviors is not therapeutic. It may heighten resistance and increase distress rather than encourage trust or engagement.
Choice C reason: Structured one-on-one interactions allow the nurse to build rapport while respecting the patient’s preference for limited emotional involvement. This is the most appropriate approach for schizoid personality disorder.
Choice D reason: Forcing daily group therapy participation may cause stress and withdrawal, as these patients are more comfortable with solitary activities. Gentle encouragement, not insistence, is better suited.
Correct Answer is D
Explanation
Choice A reason: Assault involves creating fear of being harmed, not the actual restraint of a client without justification.
Choice B reason: Malpractice is professional misconduct related to deviation from standards of care, but it does not specifically describe unlawful confinement.
Choice C reason: Negligence is the failure to act with reasonable care, but it is generally unintentional and not classified as an intentional tort.
Choice D reason: False imprisonment occurs when a person is confined or restrained against their will without legal justification, which directly applies to restraining a client without consent or physician’s order.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
