A nurse is assessing a toddler who has suspected lead poisoning. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning?

A. "Why are you feeling so down?": This response may come across as intrusive and may not be well-received by the client. It puts pressure on the client to provide an explanation for their feelings, which they may not be ready or willing to do at that moment.

B. "I understand. I've felt like that before, too": While expressing empathy can be helpful, it's important for the nurse to validate the client's current feelings without making assumptions about their own experiences. This response could inadvertently shift the focus away from the client's feelings and onto the nurse's experiences.

C. "I’ll just sit here with you for a few minutes then.": This is the best response as it acknowledges the client's feelings, respects their desire for solitude, and offers the nurse's presence as a source of support without pressure to talk. Simply being present with the client demonstrates empathy and provides comfort during a difficult time.

D. "It might help you feel better if you talk about it": While encouraging the client to talk about their feelings can be beneficial in some situations, it's essential to respect the client's autonomy and readiness to engage in conversation. In this case, the client has expressed a desire not to talk, so offering unsolicited advice to talk may feel dismissive of their feelings.

A. Plan the client's schedule to allow time for rituals: This is the most appropriate action. It is essential to recognize that compulsive behaviors in OCD serve as coping mechanisms for the individual. Allowing time for rituals within the client's schedule can help reduce anxiety and provide a sense of control. Gradual exposure and response prevention techniques can be incorporated into the treatment plan over time to help the client gradually decrease reliance on rituals.

B. Isolate the client for a period of time: Isolating the client may exacerbate feelings of anxiety and distress, as well as decrease opportunities for social interaction and support, which are essential components of mental health treatment.

C. Confront the client about the senseless nature of the repetitive behaviors: Confrontation may lead to defensiveness and resistance from the client. It is important to approach the client with empathy and understanding rather than judgment. Educating the client about the nature of OCD and the role of compulsive behaviors in managing anxiety can be more helpful in fostering insight and motivation for change.

D. Set strict limits on the behaviors so that the client can conform to the unit rules and schedules: Setting strict limits may increase the client's distress and resistance. It is important to collaborate with the client in treatment planning and find a balance between supporting the client's needs and maintaining a therapeutic environment. Gradual exposure and response prevention techniques should be implemented in a supportive manner rather than through strict enforcement.