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?

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

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

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

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

Answer and Explanation

The Correct Answer is A

Choice A rationale:

"Snap a rubber band on your wrist when you think about checking the locks.”. This choice suggests using a painful stimulus (the rubber band snap) as part of the thought-stopping technique. While it may interrupt the client's behavior temporarily, it is not a recommended or ethical approach, as it can cause harm and distress to the client.

Choice B rationale:

"Keep a journal of how often you check the locks each night.”. Keeping a journal may be useful for tracking behavior patterns, but it doesn't address the core issue of obsessive-compulsive disorder. It is essential to provide the client with a more active technique for managing their compulsions, like the one mentioned in choice C.

Choice D rationale:

"Ask a family member to check the locks for you at night.”. This choice does not promote independence or self-management, which is an important goal in treating obsessive-compulsive disorder. It may alleviate the client's anxiety temporarily but does not help the client develop skills to manage their obsessive-compulsive tendencies on their own.

Choice C rationale:

"Focus on abdominal breathing whenever you go to check the locks.”. This response is the most appropriate because it recommends a self-soothing and grounding technique (abdominal breathing) to help the client manage their obsessive thoughts and compulsions. It encourages the client to be more mindful and reduce the urge to perform repetitive behaviors, which is a key aspect of treating obsessive-compulsive disorder. .

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Correct Answer is D

Explanation

The most appropriate recommendation for the client experiencing social isolation due to depression is:

d. Join a low-impact exercise class.

Here's why:

a. Enroll in an online self-help course:While this can be beneficial for learning coping skills,it doesn't directly address the social isolation aspect.
b. Practice guided imagery each morning:This could be helpful for emotional regulation but doesn't necessarily promote socialization.
c. Write in a journal daily:Though journaling can be therapeutic,it's a solitary activity and may not address social withdrawal.
d. Join a low-impact exercise class:Participating in a group activity like a low-impact exercise class provides several benefits:
- Physical activity:Improves mood and energy levels,reducing depression symptoms.
- Social interaction:Creates opportunities to connect with others with similar interests,combating isolation.
- Structure and routine:Provides a sense of purpose and accomplishment,which can be difficult with depression.
- Reduced stress:Exercise releases endorphins,which have mood-boosting effects.

Furthermore, a low-impact class caters to the client's potential lack of motivation and energy.

Therefore, encouraging participation in a low-impact exercise class is the most suitable recommendation for this client's social isolation in the context of depression.

Remember, it's crucial to consider the client's individual preferences and tailor recommendations accordingly.

A. "Lots of people feel ashamed to tell their secrets.”. B. "You will feel better if you tell me what you did last night.”. C. "Let's discuss what you feel embarrassed about.”. D. "You shouldn't feel embarrassed to talk to me.”.

Correct Answer is C

Explanation

Choice A rationale:

The response, "Lots of people feel ashamed to tell their secrets," is not the most therapeutic option because it does not directly address the client's need to discuss their feelings or concerns. It does offer some empathy but falls short in terms of encouraging communication and understanding.

Choice B rationale:

The response, "You will feel better if you tell me what you did last night," may come across as too direct and pressuring, which can be counterproductive in building trust with the client. It may make the client feel even more embarrassed or uncomfortable.

Choice D rationale:

The response, "You shouldn't feel embarrassed to talk to me," attempts to reassure the client but may invalidate their feelings and is not as therapeutic as the correct choice. It's important to acknowledge the client's emotions and provide them with a safe space to open up.

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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

A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, "I feel unmotivated and don't feel like leaving my home.”. Which of the following recommendations should the nurse make to address the client's social isolation?

Correct Answer is D

Explanation

A nurse is caring for a client who states, "I am too embarrassed to tell anyone what I did last night.”. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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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?