A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse include?

Use detailed explanations when providing education to the client

Maintain a stimulating environment for the client

Provide the cant with a structured schedule of daily activities

Limit time for rituals to 20 min each day

Answer and Explanation

The Correct Answer is C

A. Use detailed explanations when providing education to the client: Providing detailed explanations can help the client better understand their condition and treatment, which is essential for managing obsessive-compulsive disorder (OCD). This intervention promotes client education and empowerment, enabling them to participate more effectively in their care and treatment.

B. Maintain a stimulating environment for the client: Individuals with OCD often benefit from a calm and organized environment rather than a stimulating one. A stimulating environment might exacerbate anxiety and OCD symptoms. Therefore, maintaining a calm and structured environment is typically more beneficial for clients with OCD.

C. Provide the client with a structured schedule of daily activities: Providing a structured schedule of daily activities can help regulate the client's routine and provide a sense of predictability, which can be comforting for individuals with OCD. A structured schedule can also help minimize the impact of OCD symptoms on daily functioning by providing a framework for completing tasks and managing time effectively.

D. Limit time for rituals to 20 minutes each day: Limiting time for rituals to a specific duration each day may not be appropriate or effective for all clients with OCD. While gradual exposure and response prevention (ERP) therapy may involve gradually reducing the time spent on rituals, setting a specific time limit may not address the underlying causes of OCD and could potentially increase anxiety and distress for the client.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Documentation should occur every 15-30 minutes to ensure the client's safety and to assess the need for continuing or removing the restraints.

B. Keep the client in restraints until the prescription expires: Restraints should be used for the shortest duration necessary to ensure the safety of the client and others. Keeping the client restrained until the prescription expires without reevaluation may not align with best practices for restraint use.

C. Conducting a debriefing with the unit staff is crucial to evaluate the situation, discuss the events leading up to the use of restraints, and develop strategies to prevent the need for future restraint use. This helps ensure the safety and well-being of the client and others, as well as improve care practices.

D.Typically, the evaluation should occur within 1-4 hours depending on the facility's policy and the urgency of the situation.

A. These clients can receive packages after they are privately inspected by security. B. These clients cannot be considered for a research study. C. These clients can vote in local and federal elections. D. These clients cannot refuse their prescribed antipsychotic medications.

Correct Answer is C

Explanation

A. These clients can receive packages after they are privately inspected by security: While security measures may be in place to ensure the safety and appropriateness of packages received by clients in a mental health facility, the ability to receive packages is not necessarily dependent on the client's involuntary admission status. Policies regarding package inspections may vary by facility and are not specific to involuntary admission status.

B. Involuntarily admitted clients can be considered for research studies, provided they give informed consent and the study meets ethical guidelines.

C. Clients who are involuntarily admitted retain their right to vote, provided they meet the usual eligibility requirements for voting. Their legal status regarding involuntary admission does not affect their voting rights.

D. Involuntarily admitted clients do have the right to refuse medications, unless a court order mandates treatment or an emergency situation exists where the client poses a danger to themselves or others.

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A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?

Correct Answer is C

Explanation

A charge nurse is providing education to a group of newly-licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses by a newly-licensed nurse indicates understanding of the teaching?

Correct Answer is C

Explanation

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