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
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.
B.
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.
D.
This approach respects the client’s need to complete the compulsion to reduce anxiety while gradually redirecting attention, minimizing distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Monitoring the client for signs of infection is essential, especially given the history of MRSA, which could recur or be ongoing.
B. Calling the healthcare provider for a prescription without evidence of current infection is premature.
C. Collecting screening cultures for MRSA is important for detecting current colonization or infection.
D. Placing the client on contact transmission precautions is a standard practice for patients with a history of MRSA to prevent the spread of infection[6].
E. Obtaining a sputum specimen for culture and sensitivity may be indicated if there are respiratory symptoms or a high risk of MRSA pneumonia, but it is not specified in this scenario.
Correct Answer is ["A","B","E","F","G"]
Explanation
O2 saturation: Directly reflects the level of oxygen in the blood.
Respiratory rate 28 bpm: Indicates increased effort to obtain oxygen.
Anxious, Restless: Neurological signs of inadequate oxygenation.
BP 145/89 mmHg: Elevated blood pressure can be a response to hypoxia.
Heart Rate 101 bpm: Increased heart rate is a compensatory mechanism for hypoxia.
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