A client with OCD expresses concerns about their medication. Which statement by the client indicates a need for further education?
"I'm going to take my medication only when I feel anxious.”
"I should report any side effects to my doctor.”
"It's important to continue taking my medication even if I start feeling better.”
"I'll stop taking my medication if I experience any discomfort.”
The Correct Answer is A
Choice A rationale:
This statement indicates a need for further education. For medications used to treat OCD, consistent and regular dosing is important for their effectiveness. Taking medication only when feeling anxious could lead to inconsistent blood levels of the medication, potentially diminishing its therapeutic effects.
Choice B rationale:
The statement "I should report any side effects to my doctor" is accurate and does not indicate a need for further education. Reporting side effects to the doctor is a responsible and informed approach to medication management.
Choice C rationale:
The statement "It's important to continue taking my medication even if I start feeling better" is correct. Often, individuals with OCD may experience improvement in symptoms but need to continue the medication regimen to maintain the positive effects and prevent relapse.
Choice D rationale:
The statement "I'll stop taking my medication if I experience any discomfort" indicates a need for further education. Discomfort is a broad term that could encompass various mild side effects or adjustments that might be necessary when starting a new medication. It's important not to discontinue medication abruptly without consulting a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The statement "I always arrange my books on the shelf from tallest to shortest" doesn't indicate an obsession. This behavior might suggest a preference for orderliness or arranging things systematically, but it lacks the distressing, unwanted nature of obsessions.
Choice B rationale:
"I feel an overwhelming urge to wash my hands every 30 minutes" indicates a compulsion rather than an obsession. The urge to wash hands frequently is driven by the need to alleviate anxiety or distress, which is the hallmark of compulsive behaviors.
Choice C rationale:
"I have a ritual of counting to 10 before entering any room" is also a compulsion. The ritual of counting serves as a way to reduce anxiety or prevent a feared outcome associated with entering a room, suggesting a compulsive behavior.
Choice D rationale:
The statement "I keep having thoughts that my family will get hurt if I don't touch the doorknob three times" reflects an obsession. The distressing thought of family harm is the unwanted obsession, and the ritual of touching the doorknob three times is the compulsion aimed at reducing the anxiety caused by the obsession.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
Sharing patient information without consent violates patient privacy and confidentiality. This goes against ethical and legal standards in healthcare.
Choice B rationale:
This is a correct choice. Communicating treatment progress to the healthcare team ensures everyone is informed and can provide coordinated care. Collaboration and information sharing are important for comprehensive patient management.
Choice C rationale:
Referring the patient to support groups is a collaborative action that can provide additional avenues of help and coping strategies. Support groups can offer a sense of community and understanding among individuals facing similar challenges.
Choice D rationale:
Excluding the patient from treatment decisions contradicts patient-centered care and shared decision-making principles. Collaboration involves involving the patient in their own care.
Choice E rationale:
Coordinating medication adjustments is a collaborative action as medications are often managed by healthcare professionals such as doctors or nurse practitioners. Adjustments should be made collectively to ensure the best outcome for the patient.
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