A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?

"Ask a family member to check the locks for you at night."

"Focus on abdominal breathing whenever you go to check the locks."

"Keep a journal of how often you check the locks each night."

"Snap a rubber band on your wrist when you think about checking the locks."

Answer and Explanation

The Correct Answer is D

A.   Having a family member check the locks may provide temporary relief but does not address the
client’s compulsive behaviors or promote self-control.
B.   Abdominal breathing may help with anxiety, but it does not directly address the obsessive thoughts related to checking the locks.
C.   Keeping a journal may help track the behavior, but it does not serve as an intervention for the compulsion itself.
D.   Thought-stopping involves using a physical cue, such as snapping a rubber band, to interrupt the cycle of obsessive thinking and help the client refocus.

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Correct Answer is D

Explanation

A. This statement reflects normal grief and sadness, which are part of the bereavement process. It does not necessarily indicate clinical depression but a recognition of the mourning process.
B. This statement suggests a normal grief response where anger is directed outward. It does not immediately indicate depression unless the anger is persistent and inhibits functioning.
C. This statement indicates reliance on support systems, which is a positive coping mechanism. It does not suggest clinical depression but shows that the client is still engaging in their support network.
D. Numbness is a concerning symptom that may indicate clinical depression. It suggests an emotional shutdown, which is a red flag for major depressive disorder and warrants further assessment and intervention.

A. Clinical nurse specialist B. Social worker C. Occupational therapist D. Recreational therapist

Correct Answer is B

Explanation

A. A clinical nurse specialist (CNS) would typically focus on clinical interventions related to nursing care, but they would not generally be the most appropriate person to contact for housing placement assistance.
B. A social worker is trained to assist clients with practical concerns such as housing, financial issues, and access to community resources. They would be the most appropriate team member to assist with housing placement.
C. An occupational therapist focuses on helping clients develop skills for daily living, but housing placement is outside their scope of practice.
D. A recreational therapist focuses on therapeutic activities, but housing placement would typically be handled by a social worker or other appropriate team member.

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A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is B

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