A registered nurse is caring for a client who has been diagnosed with obsessive-compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?

Decrease anxiety to a tolerable level.

Focus attention on meaningful tasks,

Limit the amount of time available to interact with others.

Manipulate and control others' behaviors.

Answer and Explanation

The Correct Answer is A

Individuals with OCD often engage in compulsive behaviors as a way to reduce anxiety or distress. In this case, the client’s behavior of constantly picking up after others in the day room may be a compulsion that helps them decrease their anxiety to a tolerable level.

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Correct Answer is C

Explanation

Schizophrenia is a severe mental illness associated with an increased risk of suicide. Individuals with schizophrenia are at a higher risk of suicide due to the presence of symptoms such as depression, hopelessness, and social isolation. Unemployment is also a risk factor for suicide as it can contribute to financial and social stress.

The other options do have some risk factors, but not as high as the individual in option c. Alcohol use and being independent-minded are not necessarily significant risk factors for suicide, and being active in church can be a protective factor. While depression is a significant risk factor for suicide, it is not the only factor, and having two best friends may be a protective factor. Diabetes, in and of itself, is not a risk factor for suicide.

A. Assess for depression and anxiety every shift B. Communicate empathy for the patient's feelings to increase rapport C. Help the patient balance energy expenditure and caloric intake. D. Observe for adverse eﬀects of refeeding.

Correct Answer is D

Explanation

Refeeding syndrome is a potentially life-threatening condition that can occur when a person with anorexia nervosa begins to eat again after a period of starvation. It is important for the nurse to closely monitor the patient for signs of refeeding syndrome, such as electrolyte imbalances and ﬂuid overload, as the patient begins to gain weight.

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A registered nurse is caring for a client who has been diagnosed with obsessive-compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following individuals is at highest risk for committing suicide?

Correct Answer is C

Explanation

Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight after initiating therapy? Select one:

Correct Answer is D

Explanation

A client tells the nurse. "l wanted my health care provider to prescribe alprazolam (Xanax) for my anxiety disorder but buspirone (Buspar) was prescribed instead. Why?" The registered nurse's reply should be based on that buspirone: Select one:

A client tells the nurse that he wants to kill his boss, the registered nurse tells healthcare provider. The healthcare provider tells his boss. What disciplinary action is needed? Select one:

A nurse Observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons? Select one:

A therapist recently convicted of multiple counts of Medicare fraud says, "Sure I overbilled. Why not? Takes advantage of the government, so I did too, it is not a problem." These statements show: Select one:

An involuntarily hospitalized client tells the nurse: "Get me the forms for discharge against medical advice (AMA) so I leave the hospital now." What is the registered nurse's best initial response? Select one:

A psychiatric registered nurse best implements the ethical principle of autonomy when he or she: Select one:

A nurse is caring for a client following a recent suicide attempt. Which of the following actions should the nurse take?

A 26-month-old child displays many negative behaviors. The parent says, "My child refuses toilet training and shouts, 'No, no, no!' when given directions. What do you think is wrong?" Select the registered nurse's best reply: Select one: