A nurse in a residential mental health facility is planning care for a new client who has obsessive-compulsive disorder (OCD). Which of the following is appropriate for the nurse to include in the plan of care?

Work with the client to create a flexible daily schedule.

Gradually decrease the time allowed for ritualistic behavior.

Offer solutions to assist in problem-solving.

Teach the client to meditate about obsessive thoughts.

Answer and Explanation

The Correct Answer is B

A. While creating a flexible daily schedule may be helpful, it does not directly address the core symptoms of OCD.

B. Gradually decreasing the time allowed for ritualistic behavior is a common technique used in exposure and response prevention therapy, which is an evidence-based treatment for OCD.

C. Offering solutions for problem-solving may be helpful in general, but it may not directly address the specific symptoms of OCD.

D. While meditation can be beneficial for managing stress and anxiety, it may not specifically address the compulsive thoughts and behaviors characteristic of OCD.

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Correct Answer is B

Explanation

A. Influenza immunizations: This is an example of primary prevention because it aims to prevent the occurrence of influenza infection in the first place.

B. Tuberculosis screenings: This is an example of secondary prevention because it involves early detection and treatment of tuberculosis infection to prevent its progression to active disease and

transmission to others.

C. Presentations about safer sex practices: This is an example of primary prevention aimed at reducing the risk of sexually transmitted infections by promoting safe behaviors.

D. Evaluations of bloodborne pathogen policies: This is an administrative activity related to ensuring workplace safety and adherence to policies and procedures and does not directly

involve prevention of communicable diseases among individuals.

A. "Why do you think your life is not worth it anymore?" B. "You can trust me and tell me what you are thinking." C. "I need to know what you mean by misery." D. "Do you have a plan to end your life?"

Correct Answer is D

Explanation

A. This response may come across as confrontational and could potentially shut down further communication. It's important to offer support and empathy rather than immediately probing with questions.

B. While saying, "You can trust me and tell me what you are thinking," may foster trust, it is too vague and does not focus on assessing the client’s level of suicidal ideation or intent. Effective responses should prioritize safety by exploring specific details about the client’s thoughts.

C. "I need to know what you mean by misery" focuses on understanding the client’s emotional state but does not address the immediate concern of suicidal thoughts. While exploring the client’s feelings is important, it is secondary to assessing imminent risk.

D. Asking, "Do you have a plan to end your life?" is appropriate because it directly assesses the client’s risk for suicide. Determining whether the client has a specific plan, the means to carry it out, and intent to act is essential for evaluating the severity of the situation and implementing safety measures.

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A nurse in a residential mental health facility is planning care for a new client who has obsessive-compulsive disorder (OCD). Which of the following is appropriate for the nurse to include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An occupational health nurse at a group of health care clinics is planning activities to prevent and control the spread of communicable disease. The nurse should identify that which of the following activities is a secondary level of prevention?

Correct Answer is B

Explanation

A client who is having suicidal thoughts tells the nurse, "It just does not seem worth it anymore. Why not end my misery?" Which of the following responses by the nurse is appropriate?

Correct Answer is D

Explanation

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