A 35-year-old client with OCD spends several hours each day arranging and rearranging household items in a specific order. The client becomes extremely distressed if the items are not arranged correctly. Which nursing intervention is most appropriate?

Assist the client in developing a structured schedule for activities of daily living

Provide education about the irrationality of the behavior

Collaborate with the client to set realistic goals for behavior change

Encourage the client to resist the urge to rearrange items

Answer and Explanation

The Correct Answer is C

A. A structured schedule may help with overall daily functioning, but it does not specifically address the compulsive behavior.

B. Educating the client about the irrationality of the behavior is unlikely to reduce the compulsions, as this is a hallmark of OCD, where the individual is often unable to control the urges despite understanding their irrationality.

C. Collaborating with the client to set realistic, gradual goals for changing the compulsive behavior is key in treating OCD. This approach allows the client to have input into their treatment plan and promotes realistic, achievable progress.

D. Encouraging the client to resist the urge to rearrange items without providing a structured approach may lead to increased anxiety and frustration. Gradual exposure and behavior modification are more effective.

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Correct Answer is B

Explanation

A. Chills are not a common symptom of moderate anxiety; they are more likely to occur with fever or cold exposure.

B. Anxiety often leads to physical symptoms such as urinary frequency due to increased sympathetic nervous system activity.

C. Rapid speech can occur with anxiety, but it is more commonly seen in severe anxiety, not moderate anxiety.

D. A distorted perceptual field is more typical of severe anxiety or panic attacks, not moderate anxiety.

A. A semi-private room with a roommate who has a similar diagnosis B. A private room close to the nursing station C. A seclusion room until the client's activity level becomes more subdued. D. A private room in a quiet location on the unit

Correct Answer is B

Explanation

A. A semi-private room may not provide enough structure or prevent overstimulation, which could exacerbate manic behavior.

B. A private room close to the nursing station is ideal for a client in the manic phase of bipolar disorder. The nurse can monitor the client's behavior more closely while providing a quiet, private space to prevent overstimulation from other clients.

C. A seclusion room should not be the first option unless the client is a danger to themselves or others, and the client's activity level can usually be managed with more supportive measures.

D. A private room in a quiet location is not ideal because the nurse needs to be able to monitor the client closely and intervene if necessary, which would be more difficult in a remote area.

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A 35-year-old client with OCD spends several hours each day arranging and rearranging household items in a specific order. The client becomes extremely distressed if the items are not arranged correctly. Which nursing intervention is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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