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 ["2"]

Explanation

50 mcg is to 1 tablet as 100 mcg is to x tablets

So, 50/1 = 100/x

Cross-multiplying: 50x = 100

Dividing both sides by 50: x = 2

Therefore, the nurse should administer 2 tablets daily.

A. "I will join a book club in my neighborhood." B. 1 plan to sit on a park bench for a few minutes each day." C. 1 can try participating in group therapy every week" D. "I should avoid entering elevators and other closed spaces."

Correct Answer is B

Explanation

A. Joining a book club may be too ambitious at the start of treatment for someone with agoraphobia.

B. Gradual exposure to feared situations is a common treatment for agoraphobia. This plan represents a reasonable and incremental goal, showing understanding of the treatment approach.

C. Participating in group therapy might be too overwhelming and may not directly address the client's fear of being outside.

D. Avoidance of elevators and closed spaces goes against the goal of treatment, which is to face fears gradually and safely.

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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

A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

Correct Answer is B

Explanation

A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?

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