Which goal is appropriate for the client being treated for obsessive-compulsive disorder with response prevention therapy?

The client will implement relaxation techniques to help manage his or her anxiety within 2 days.

The client will demonstrate an understanding of the benefits of deep breathing within 2 days.

The client will deliberately confront the trigger of his or her anxiety within 3 months.

The client will experience notably less anxiety when engaged in delaying the ritual within 3 months.

Answer and Explanation

The Correct Answer is D

Choice A reason: Implementing relaxation techniques is a helpful goal, but it does not directly address the compulsive behavior which is the focus of response prevention therapy.

Choice B reason: Understanding the benefits of deep breathing is beneficial, but it is not the primary goal of response prevention therapy.

Choice C reason: Confronting the trigger is part of the process, but the ultimate goal is to reduce anxiety associated with delaying or preventing the ritual.

Choice D reason: This is the correct choice. The primary goal of response prevention therapy is to reduce the anxiety associated with OCD rituals, making this the most appropriate goal.

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Correct Answer is A

Explanation

Choice A reason: This choice is incorrect as it dismisses the client's feelings and implies a timeline for grief, which can impede communication.

Choice B reason: This choice is appropriate as it oﬀers support and presence, which can facilitate communication.

Choice C reason: This choice is empathetic and acknowledges the client's feelings, promoting communication.

Choice D reason: This choice is open-ended and invites the client to share more, which can enhance communication.

A. "You have nothing to be ashamed of." B. "Tell me what has happened since your last admission." C. "I really thought you would make it." D. "Why did you start drinking again?"

Correct Answer is B

Explanation

Choice A reason: While it's important to provide support, simply telling the client they have nothing to be ashamed of does not address the underlying issues or feelings the client may be experiencing.

Choice B reason: This response opens a dialogue and allows the client to share their experiences and challenges since the last admission, fostering a therapeutic relationship and understanding.

Choice C reason: This statement could be perceived as judgmental and may make the client feel worse, potentially hindering the therapeutic relationship.

Choice D reason: Asking why they started drinking again could come across as accusatory and may cause the client to become defensive or feel guilty, which is not conducive to recovery.

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Which goal is appropriate for the client being treated for obsessive-compulsive disorder with response prevention therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?

Correct Answer is A

Explanation

A client is readmited to the substance use disorder program for the second time in 6 months for alcohol use disorder. Upon admission, the client tells the nurse, "I am so ashamed." What should the nurse reply?

Correct Answer is B

Explanation

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