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A nurse is caring for a newly admitted client who has obsessive-compulsive disorder.
Which of the following actions should the nurse take first? .

Administer an antianxiety medication

Calculate the client's score on the Hamilton Rating Scale for Anxiety.

Explain the use of response prevention to the client.

Discuss the benefits of relaxation exercises with the client.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Administering an antianxiety medication can help manage symptoms, but it’s not the first action a nurse should take.

Choice B rationale:

Calculating the client’s score on the Hamilton Rating Scale for Anxiety is the first step in assessing the severity of the client’s anxiety.

Choice C rationale:

Explaining the use of response prevention can be beneficial, but it’s not the first action the nurse should take.

Choice D rationale:

Discussing the benefits of relaxation exercises can help manage anxiety, but it’s not the first action the nurse should take.

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Correct Answer is B

Explanation

Choice A rationale:

Reaction formation is a defense mechanism where a person behaves in a way opposite to their true feelings.

Choice B rationale:

Somatization is the process of experiencing mental or emotional distress as physical symptoms.

Choice C rationale:

Intellectualization is a defense mechanism where a person uses reasoning to block out emotional stress.

Choice D rationale:

Sublimation is a defense mechanism where a person transforms unacceptable impulses into socially acceptable behaviors.

A. Absence of seizures B. Reduction in hand tremors. C. Decreased hallucinations. D. Improved mood.

Correct Answer is D

Explanation

Choice A rationale:

Absence of seizures is not an expected outcome of fluoxetine therapy. Fluoxetine is an antidepressant, not an anticonvulsant.

Choice B rationale:

Reduction in hand tremors is not an expected outcome of fluoxetine therapy. Fluoxetine is used to treat depression, obsessive-compulsive disorder, some eating disorders, and panic attacks.

Choice C rationale:

Decreased hallucinations is not an expected outcome of fluoxetine therapy. Fluoxetine is not typically used to treat conditions that cause hallucinations.

Choice D rationale:

Improved mood is an expected outcome of fluoxetine therapy. As an antidepressant, fluoxetine works by balancing chemicals in the brain that affect mood and emotions.

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A nurse is caring for a newly admitted client who has obsessive-compulsive disorder. Which of the following actions should the nurse take first? .

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an anxiety disorder. The client transforms their anxiety into physical manifestations. The nurse should recognize that the client is ing which of the following manifestations?.

Correct Answer is B

Explanation

A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine. Which of the following is an expected outcome for this client?.

Correct Answer is D

Explanation

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A nurse is caring for a newly admitted client who has obsessive-compulsive disorder.
Which of the following actions should the nurse take first? .