The nurse receives shift report about a male client with obsessive-compulsive disorder. The nurse completes moming rounds and approaches the cent while he is repeatedly washing the top of the same table. Which intervention should the nurse implement?

Encourage the client to be calm and relax for a little while.

Teach the client thought stopping techniques and ways to refocus behaviors.

Assist the client to identify stimuli that precipitates the activity.

Allow time for the behavior and then redirect the client to other

Answer and Explanation

The Correct Answer is D

A. Simply encouraging the client to be calm and relax may not be effective for someone with obsessive-compulsive disorder.

Teaching techniques is more appropriate for structured therapy sessions rather than addressing compulsive behavior in the moment.

C. While identifying stimuli can be useful, it is not an immediate intervention.

This approach respects the client’s need to complete the compulsion to reduce anxiety while gradually redirecting attention, minimizing distress.

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Correct Answer is B

Explanation

A. Determining the need for urinary catheterization is within the scope of a registered nurse (RN), as it involves assessment and clinical judgment. A practical nurse (PN) does not independently determine the need for catheterization.
B. Titrating oxygen within prescribed parameters is an appropriate task for a PN, as it involves following provider orders and monitoring the client's response while working under RN supervision.
C. Receiving a postoperative client and conducting the initial assessment requires comprehensive assessment skills, which fall within the RN's scope of practice rather than the PN's.
D. Evaluating and updating plans of care require critical thinking and clinical decision-making, which are responsibilities of the RN. The PN can contribute to care but does not independently evaluate or modify care plans.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"E"}

Explanation

Semi-Fowler's Position:This position involves the patient being partially seated (at a 30 to 45- degree angle) which aids in lung expansion and can ease breathing in patients with respiratory distress, making it the most appropriate choice for this patient.

Lung Expansion: Semi-Fowler's position helps to promote lung expansion by reducing pressure on the diaphragm, allowing for better expansion of the lungs and easier breathing.

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The nurse receives shift report about a male client with obsessive-compulsive disorder. The nurse completes moming rounds and approaches the cent while he is repeatedly washing the top of the same table. Which intervention should the nurse implement?

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Naxlex Comprehensive Predictor Exams

The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel Which task should the nurse assign to the PN?

Correct Answer is B

Explanation

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"E"}

Explanation

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