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. While fear of gaining weight is concerning in a client with anorexia nervosa, it does not necessarily require an immediate update to the care plan unless other risk factors such as malnutrition are present.
B. Clang associations, although abnormal, are not immediately dangerous and do not typically require an urgent change in care. This may indicate active symptoms of schizophrenia, but it does not pose an immediate safety risk.
C. Memory difficulties in Alzheimer’s disease are expected as part of the progression of the condition,
but they do not directly endanger the client's safety.
D. Poor impulse control in a client with bipolar disorder, particularly if the client is manic, poses a potential safety risk due to risky behaviors. An update to the care plan is necessary to address this concern and minimize harm.

A. Discuss the provider's goals for the client's care. B. Request the provider prescribe a second antipsychotic medication to the client. C. Ask the client if the medication is causing adverse effects. D. Tell the client they will be admitted to an inpatient care facility if they do not take the medication.

Correct Answer is C

Explanation

A. Discussing the provider's goals might not address the client’s reasons for non-adherence and could be seen as dismissive.
B. Prescribing another medication without addressing the reasons for non-adherence may not solve the underlying problem.
C. Asking about adverse effects shows empathy and provides an opportunity to address concerns and encourage adherence.
D. Threatening hospitalization is not therapeutic and may make the client more resistant to taking the medication.

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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

Explanation

A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?

Correct Answer is C

Explanation

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