A nurse is contributing to the plan of care for a client who has obsessive-compulsive disorder (OCD) regarding brushing his teeth. The client brushes his tongue several times a day and has developed several ulcerations. Which of the following interventions should the nurse identify as a priority?

Provide information on stress reduction methods.

Assist the client to identify triggers to obsessive behaviors.

Speak to the client in a calm and soothing manner.

Assist the client in identifying his anxiety level.

Answer and Explanation

The Correct Answer is B

Choice A reason: While providing information on stress reduction is helpful, it is not the immediate priority.

Choice B reason: Assisting the client to identify triggers is a priority as it directly addresses the cause of the OCD behaviors.

Choice C reason: Speaking to the client in a calm manner is supportive but does not address the underlying OCD behaviors.

Choice D reason: Identifying anxiety levels can be part of the intervention, but it is not as specific as identifying triggers for the OCD behaviors.

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Correct Answer is B

Explanation

Choice A reason: Clang association involves speech governed by words that sound alike rather than having a logical connection, which is not demonstrated here.

Choice B reason: Neologism is the creation of new words or phrases that others may not understand, which fits the use of "muxtranks."

Choice C reason: Echolalia is the repetition of another person's spoken words, which is not the case here.

Choice D reason: Word salad refers to a jumble of words that is incoherent, but "muxtranks" is a consistent term used by the client, indicating neologism.

A. Make decisions for the patient at the patient's request. B. Avoid situations that the patient may perceive as demeaning. C. Greatly limit social contact to decrease the chance of regressing to prior problematic behavior. D. Avoid discussing the treatment plan to decrease the chance of the patient manipulating the plan. E. Maintain honest, open communication

Correct Answer is ["A","C","E"]

Explanation

Choice A reason: Making decisions for the patient can undermine their autonomy and is not therapeutic in treating Paranoid Personality Disorder.

Choice B reason: Avoiding situations that the patient may perceive as demeaning is actually an appropriate intervention, as it helps to build trust and rapport.

Choice C reason: Greatly limiting social contact is not recommended as it can increase feelings of isolation and paranoia.

Choice D reason: Avoiding discussion of the treatment plan is not appropriate; patients should be involved in their care decisions to the greatest extent possible.

Choice E reason: Maintaining honest, open communication is an appropriate and necessary intervention for building a therapeutic relationship with a patient with Paranoid Personality Disorder.

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A nurse is contributing to the plan of care for a client who has obsessive-compulsive disorder (OCD) regarding brushing his teeth. The client brushes his tongue several times a day and has developed several ulcerations. Which of the following interventions should the nurse identify as a priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse overhears a client who has schizophrenia talking to herself. The client keeps stating, "The muxtranks are coming. The muxtranks are coming." The nurse correctly recognizes the client's use of the word "muxtranks" as an example of which of the following alterations in speech?

Correct Answer is B

Explanation

Which of the following are NOT appropriate nursing interventions for Paranoid Personality Disorders? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

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