A client, who is newly admitted with Obsessive-Compulsive Disorder, washes their hands ritualistically before any activity. They arrive late to meals and does not have time to finish eating. The appropriate nursing action would be to:
interrupt the handwashing and insist the client come to meals with everyone else.
provide the client's meals later and after the other clients have eaten.
notify the client when it is 30 minutes before the meal so they can begin their handwashing.
allow the client to continue as is but provide them access to the kitchen.
The Correct Answer is D
a. Interrupt the handwashing and insist the client come to meals with everyone else. Interrupting ritualistic behaviors abruptly can increase distress and is not recommended. It may also reinforce the belief that the ritual is necessary.
b. Provide the client's meals later and after the other clients have eaten. This is not appropriate as it accommodates the OCD behavior and disrupts the mealtime routine for other clients.
c. Notify the client when it is 30 minutes before the meal so they can begin their handwashing. This is not appropriate as it enables the ritualistic behavior and may lead to increased anxiety if the client feels rushed to complete their ritual.
d. Allow the client to continue as is but provide them access to the kitchen. This is correct because it respects the client's autonomy while also providing an opportunity for gradual exposure therapy, where the client can work with the nurse to gradually reduce the time spent on rituals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. decrease anxiety and ignore all the alternate personalities. Ignoring alternate personalities is not a therapeutic goal and could lead to further distress and fragmentation.
b. blend all the personalities into one. The primary goal of therapy for Dissociative Identity Disorder (DID) is often to integrate the separate identities into one cohesive identity, facilitating overall functioning and stability.
c. prevent social isolation: While preventing social isolation is important, it is not the primary therapeutic goal specific to DID.
d. forget the past trauma: The goal is not to forget the past trauma but to integrate and process traumatic memories in a healthy way, reducing the impact on the individual's functioning.
Correct Answer is C
Explanation
a. "Where do you buy your food?" While this provides information about food access, it doesn’t directly assess nutritional intake.
b. "Does someone else prepare your meals?" This might provide insight into the client's independence, but it doesn't directly assess nutritional intake.
c. "Tell me what you eat in a typical day." This directly assesses the client’s dietary intake and provides a comprehensive view of their nutrition status.
d. "Are you taking any medications that change your taste of foods?" This is relevant but more specific to one aspect of dietary intake. It does not provide a full picture of the client’s nutritional status like option c.
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