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 B
Explanation
A. Knowledge deficit: While the client may benefit from more information, the immediate concern is the emotional response to the anticipated pain.
B. Anxiety: This is the correct answer as the client is expressing worry about the ability to cope with future pain.
C. Pain (acute): Acute pain is not currently an issue; the client is anxious about future pain.
D. Anticipatory grieving: There is no indication that the client is experiencing a loss, which is required for anticipatory grieving. The concern is about managing future pain.
Correct Answer is A,C,D,B
Explanation
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