A nurse is developing a plan of care for a client who has obsessive-compulsive disorder.

Which of the following interventions should the nurse include?

Allow the client autonomy in scheduling daily activities.

Administer an antipsychotic medication to the client.

Provide ample time for rituals in the early treatment stages.

Initiate implosion therapy for the client.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Clients with obsessive-compulsive disorder (OCD) often benefit from maintaining control over their daily activities and schedules. Allowing the client autonomy in scheduling activities can help them manage their symptoms while feeling in control.

Choice B rationale:

Antipsychotic medications are not the first-line treatment for OCD, and their use would depend on the presence of other coexisting conditions.

Choice C rationale:

Providing ample time for rituals may inadvertently reinforce the compulsive behaviors associated with OCD. Cognitive-behavioral therapy (CBT) with exposure and response prevention is the recommended treatment for OCD.

Choice D rationale:

Implosion therapy, also known as flooding, exposes the client to anxiety-provoking stimuli in a controlled and safe environment. However, it is not typically the first-line treatment for OCD and requires careful implementation under the guidance of a mental health professional.

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Correct Answer is C

Explanation

Choice A rationale:

Asterixis is a hand-flapping tremor that can be associated with hepatic encephalopathy, not pancreatic cancer.

Choice B rationale:

Weight gain is not typically associated with pancreatic cancer and may not be a relevant manifestation to include.

Choice C rationale:

Abdominal pain is a common manifestation of pancreatic cancer and should be included in the teaching.

Choice D rationale:

Constipation is not typically associated with pancreatic cancer and may not be a relevant manifestation to include.

A. Appoint the client to be the leader during group therapy. B. Monitor the client's interactions with other clients. C. Offer the client two warnings before implementing consequences. D. Assign the client to a room near the activity area.

Correct Answer is B

Explanation

Choice A rationale:

Appointing the client as a leader may not be appropriate, as individuals with antisocial personality disorder may misuse their position of authority.

Choice B rationale:

Clients with antisocial personality disorder often struggle with interpersonal relationships, may be manipulative, and may engage in behaviors that violate the rights of others. Monitoring the client's interactions with other clients helps ensure a safe and therapeutic environment while preventing harm to others.

Choice C rationale:

Offering warnings before consequences might not be effective with clients who have antisocial personality disorder, as they may disregard rules and consequences.

Choice D rationale:

Assigning a room near the activity area does not necessarily address the need to monitor the client's interactions with others.

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A nurse is developing a plan of care for a 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 teaching a client who has a family history of pancreatic cancer about manifestations associated with the disease. Which of the following findings should the nurse include?

Correct Answer is C

Explanation

A nurse is creating a plan of care for a client who has antisocial personality disorder. Which of the following interventions should the nurse include?

Correct Answer is B

Explanation

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A nurse is developing a plan of care for a client who has obsessive-compulsive disorder.

Which of the following interventions should the nurse include?