For a client diagnosed with obsessive-compulsive disorder (OCD), which strategy should the nurse include in the client's plan of care to address the challenge of coping eﬀectively with daily obsessions and compulsions?

Explore the availability of support groups.

Develop strategies to interrupt thoughts.

Maintain a structured living environment.

Establish healthy sleep hygiene routines.

Answer and Explanation

The Correct Answer is B

Choice A reason: While support groups can be beneficial, they are not a direct coping strategy for managing daily obsessions and compulsions.
Choice B reason: This is the correct choice. Developing strategies to interrupt obsessive thoughts is a key component of cognitive-behavioral therapy, which is eﬀective in treating OCD.
Choice C reason: Maintaining a structured environment may help reduce stress but does not directly address coping with obsessions and compulsions.
Choice D reason: Healthy sleep hygiene is important, but it is not a strategy specifically aimed at coping with OCD symptoms.

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Correct Answer is B

Explanation

Choice A reason: While it's important to provide support, simply telling the client they have nothing to be ashamed of does not address the underlying issues or feelings the client may be experiencing.

Choice B reason: This response opens a dialogue and allows the client to share their experiences and challenges since the last admission, fostering a therapeutic relationship and understanding.

Choice C reason: This statement could be perceived as judgmental and may make the client feel worse, potentially hindering the therapeutic relationship.

Choice D reason: Asking why they started drinking again could come across as accusatory and may cause the client to become defensive or feel guilty, which is not conducive to recovery.

A. After the client has taken medication. B. When the client is performing a repetitive ritual. C. Just before the client goes to bed. D. When the client is experiencing low anxiety levels.

Correct Answer is D

Explanation

Choice A reason: Teaching relaxation techniques after medication may not be as eﬀective because the client might be under the inﬂuence of the medication, which could interfere with learning the techniques.
Choice B reason: Atempting to teach relaxation techniques during a ritual can increase the client's anxiety and resistance, as rituals are often used by individuals with OCD to manage their anxiety.
Choice C reason: While bedtime could be a calm time, it's not specifically targeted towards managing anxiety levels, which is crucial for clients with OCD.
Choice D reason: Teaching relaxation techniques when the client is experiencing low anxiety levels is most beneficial. The client is more likely to be receptive and retain the information, which can then be applied during higher anxiety periods.

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For a client diagnosed with obsessive-compulsive disorder (OCD), which strategy should the nurse include in the client's plan of care to address the challenge of coping eﬀectively with daily obsessions and compulsions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is readmited to the substance use disorder program for the second time in 6 months for alcohol use disorder. Upon admission, the client tells the nurse, "I am so ashamed." What should the nurse reply?

Correct Answer is B

Explanation

The nurse is teaching relaxation techniques to a client with obsessive-compulsive disorder (OCD). When should the nurse teach relaxation techniques to the client?

Correct Answer is D

Explanation

Schizophrenia is most often characterized by which assessment finding?

The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?

Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

A nursing student is preparing to care for a client diagnosed with schizophrenia. When interacting with the client, the student notices that the client is highly suspicious and guarded, stating, "They're out to get me." The student identifies this as what?

The nurse caring for an older adult client with dementia asks the client's children to bring old photo albums when they visit. Which best describes the benefit of viewing photos when caring for the client?

The client is being admited with suicidal thoughts. Which questions should the nurse ask the client? Select all that apply.

The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?