A nurse is caring for a client with OCD who is taking a selective serotonin reuptake inhibitor (SSRI) The client reports that they are having difficulty sleeping. Which of the following interventions should the nurse recommend?

Take the SSRI in the morning.

Avoid caffeine and alcohol.

Exercise regularly.

Take a warm bath before bed.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Taking the SSRI in the morning might be recommended to mitigate potential sleep disturbances related to the medication. However, the client's reported difficulty sleeping is likely influenced by factors beyond the timing of medication administration.

Choice B rationale:

The correct response addresses lifestyle modifications that can improve sleep quality. Caffeine and alcohol are known to disrupt sleep, especially when taken close to bedtime. Avoiding these substances can promote better sleep for the client.

Choice C rationale:

Regular exercise can indeed contribute to improved sleep, but its effect might vary for individuals. While exercise can be part of a healthy routine, it might not directly address the client's reported difficulty sleeping due to the SSRI.

Choice D rationale:

Taking a warm bath before bed can promote relaxation and potentially aid in sleep, but it might not be as effective in resolving the client's specific sleep problems related to SSRI use.

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Correct Answer is C

Explanation

Choice A rationale:

Encouraging the client to "talk about their fears" might be a beneficial intervention in some cases, but for individuals with OCD who are struggling with compulsive behaviors driven by their fears, directly addressing exposure to those fears is a more effective approach.

Choice B rationale:

While setting limits on the client's behavior is important, it may not be the priority in this situation. Instead, assisting the client in gradually confronting their fears through exposure therapy can help them develop healthier coping mechanisms.

Choice C rationale:

The correct response emphasizes gradual exposure therapy, a well-established approach in treating OCD. This intervention helps the client confront their fears in a controlled and systematic manner, leading to desensitization and reduction in their anxiety over time.

Choice D rationale:

Providing relaxation techniques can be helpful for managing anxiety, but for someone with OCD who is avoiding situations due to contamination fears, the primary intervention should focus on exposure therapy to address the specific OCD-related fears.

A. Teach the client relaxation techniques. B. Encourage the client to talk about their thoughts and feelings. C. Assist the client in developing a hierarchy of feared situations. D. Praise the client for decreasing the frequency of handwashing.

Correct Answer is C

Explanation

Choice A rationale:

Teach the client relaxation techniques. While teaching relaxation techniques can be beneficial, it may not directly address the client's compulsion to wash their hands repeatedly. OCD involves managing distressing thoughts and compulsions through specific interventions.

Choice B rationale:

Encourage the client to talk about their thoughts and feelings. While promoting open communication is generally important, it may not be the most effective intervention for directly addressing the client's compulsion to wash their hands. OCD interventions often involve exposure and response prevention strategies.

Choice C rationale:

Assist the client in developing a hierarchy of feared situations. This is the correct answer. Helping the client develop a hierarchy of feared situations is a key intervention in addressing OCD. This approach is part of exposure and response prevention therapy, where clients gradually face their fears without engaging in compulsive behaviors.

Choice D rationale:

Praise the client for decreasing the frequency of handwashing. While positive reinforcement can be useful, it may not be the priority intervention for someone with OCD. The focus should be on structured interventions that challenge and reduce the compulsive behaviors over time.

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A nurse is caring for a client with OCD who is taking a selective serotonin reuptake inhibitor (SSRI) The client reports that they are having difficulty sleeping. Which of the following interventions should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with OCD who is refusing to leave their room because they are afraid of contamination. Which of the following interventions should the nurse prioritize?

Correct Answer is C

Explanation

A nurse is caring for a client with OCD who has a compulsion to wash their hands repeatedly. Which of the following interventions should the nurse prioritize?

Correct Answer is C

Explanation

A client with OCD is concerned about the potential side effects of medication. The nurse explains that the choice of medication depends on several factors. Which factor is likely to influence the choice of medication for treating OCD?

A client with OCD is telling the nurse about their symptoms. Which of the following statements is most likely made by the client?

A client with OCD is undergoing cognitive-behavioral therapy (CBT) The client asks the nurse, "How does exposure and response prevention work in treating OCD?" Which response by the nurse accurately explains this aspect of CBT?

A nurse is providing care for a client with obsessive-compulsive disorder (OCD) Which statement by the nurse would be most appropriate in this situation?

A nurse is reviewing the medical record of a client with OCD. Which of the following findings is most likely to be present in the client's record?

A client with body dysmorphic disorder (BDD) is explaining their experiences to a nurse. Which statements by the client indicate symptoms of BDD? Select all that apply.

A client with OCD is concerned about their intrusive thoughts and the impact on their daily life. How should the nurse respond to the client's concerns?

A nurse is caring for a client with OCD who is taking a selective serotonin reuptake inhibitor (SSRI) The client reports that they are having difficulty sleeping. Which of the following interventions should the nurse recommend?