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 C

Explanation

A. Denying the client’s belief may cause distress and is not therapeutic.
B. Minimizing the client's concern may reinforce the delusion and damage the therapeutic relationship.
C. Acknowledging the client's feelings of fear while maintaining a non-judgmental stance helps build trust and encourages further communication.
D. While asking for more information may be helpful, it risks reinforcing the delusion or making the client feel interrogated.

A. Hypothyroidism B. Knee arthroplasty 1 month ago C. Recent head injury D. Hepatitis B infection

Correct Answer is C

Explanation

A. Hypothyroidism is not a contraindication for taking bupropion.
B. Knee arthroplasty does not impact the safety of bupropion use.
C. A recent head injury is a contraindication for bupropion use because it can lower the seizure threshold, which increases the risk of seizures.
D. Hepatitis B infection does not directly interact with bupropion, making this a non-relevant contraindication.

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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?

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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?