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."
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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Related Questions
Correct Answer is C
Explanation
A. The client should not ambulate immediately after Electroconvulsive therapy, as they may experience confusion or disorientation from the anesthesia. A period of observation is necessary first.
B. The nurse should monitor the client’s condition closely after the procedure to ensure that they are recovering from the effects of anesthesia and the treatment itself.
C. Administering Atropine is a nursing responsibility and cannot be delegated to unlicensed assistive personnel (UAP). The medication is typically given before ECT to reduce secretions and prevent complications during the procedure.
D. The consent for ECT should be obtained before the procedure. The healthcare provider is responsible for explaining the procedure and obtaining informed consent, while the nurse may witness the client’s signature.
Correct Answer is A
Explanation
A. Remaining with the client after meals helps provide emotional support and prevents purging behaviors that may occur in individuals with eating disorders like binge eating disorder.
B. Regular monitoring of weight is important, but frequent weighing may contribute to anxiety and focus on weight rather than addressing the underlying disorder.
C. Offering snacks on demand could encourage disordered eating patterns and may not help in establishing regular eating habits.
D. While involving the client in meal planning can be helpful for certain eating disorders, the focus should be on establishing a structured, balanced eating plan and addressing emotional needs rather than allowing unstructured eating.
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