A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client engages in constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

Prevent aggressive and impulsive behaviors.

Manipulate others.

Decrease the time available for interaction with people.

Decrease anxiety.

Answer and Explanation

The Correct Answer is D

Choice A reason: OCD behaviors are not typically aimed at preventing aggressive and impulsive behaviors but are a response to anxiety-provoking obsessions.

Choice B reason: The repetitive behaviors associated with OCD, such as cleaning, are not intended to manipulate others but are compulsions that the individual feels driven to perform.

Choice C reason: The goal of repetitive cleaning in OCD is not to decrease social interaction time but to alleviate the distress caused by obsessive thoughts, often related to cleanliness or contamination.

Choice D reason: Repetitive cleaning in OCD is a compulsion that aims to decrease the anxiety caused by obsessive thoughts. It is a way for the individual to manage their anxiety and gain a sense of control over their environment.

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Correct Answer is B

Explanation

Choice A reason: Shampoo and conditioner are unlikely to cause hair loss on the eyebrows and hairline.

Choice B reason: The parent's observation of the child pulling out hair and attempting to hide it suggests trichotillomania, a condition where individuals pull out their hair as a response to stress or anxiety.

Choice C reason: Genetic factors may contribute to hair loss, but the behavior described by the parent in choice B is more indicative of trichotillomania.

Choice D reason: The absence of visible nervousness or upset does not rule out trichotillomania, as the behavior can be a coping mechanism for internal distress.

A. Focusing on one issue B. Interjecting personal experiences into the interactions C. Asking leading questions to obtain the most information D. Ensuring to ask the client to restate statements for clarity

Correct Answer is B

Explanation

Choice A reason: Focusing on one issue can help in understanding the client's situation better and does not necessarily hinder empathy.

Choice B reason: Interjecting personal experiences can create a barrier to empathy by shifting the focus from the client's feelings to the nurse's own experiences.

Choice C reason: Asking leading questions may not hinder empathy but could direct the conversation away from the client's concerns.

Choice D reason: Asking the client to restate statements for clarity is a part of active listening and can actually enhance empathy by ensuring understanding.

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A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client engages in constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse observes a lack of hair on the eyebrows and hairline of a young adolescent. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

Correct Answer is B

Explanation

The nurse is attempting to develop empathy for a client but is not completely feeling empathetic. Which factor might be hindering the nurse from developing empathy for this client?

Correct Answer is B

Explanation

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