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. Crepitus is not typically associated with right ventricular heart failure; it may indicate subcutaneous emphysema or air leakage into the tissues.

B. Right ventricular heart failure often leads to elevated pulmonary artery pressure due to increased pressure in the pulmonary circulation.

C. Hepatosplenomegaly may occur in congestive heart failure but is not specific to right ventricular heart failure.

D. Confusion may occur in severe cases of heart failure due to decreased cerebral perfusion, but it is not specific to right ventricular heart failure.

A. The client is taking an antidepressant. B. The client has a history of a seizure disorder. C. The client takes aspirin daily. D. The client has a history of rheumatoid arthritis

Correct Answer is C

Explanation

- A: Garlic supplements are not contraindicated for clients taking antidepressants. While garlic is known to have a variety of health benefits, there is no well-documented interaction between garlic supplements and antidepressants that would contraindicate their concurrent use.
- B: There is no direct contraindication for the use of garlic supplements in clients with a history of seizure disorders. Garlic supplements do not have a seizure threshold-lowering effect, which is a common concern with some medications and conditions that may exacerbate seizure disorders.
- C: Garlic supplements may increase the risk of bleeding, especially when taken with other substances that have anticoagulant properties, such as aspirin. This is due to garlic's potential effect on platelet aggregation and the blood clotting process, making it a contraindication for clients who take aspirin daily.
- D: Garlic supplements do not have a contraindication for clients with a history of rheumatoid arthritis. In fact, some studies suggest that garlic may have anti-inflammatory properties, which could be beneficial for individuals with inflammatory conditions like rheumatoid arthritis.

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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

A nurse is reviewing the history and physical of a client who has right ventricular heart failure.Which of the following is an expected finding?

Correct Answer is B

Explanation

A nurse is reviewing the medical history of a client who is taking a garlic supplement. The nurse should identify that which of the following findings is a contraindication for taking this supplement?

Correct Answer is C

Explanation

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