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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["The correct answers are choices: Approach client slowly"," \r\n Maintain a low stimulation environment"," \r\n and Reorient client to person"," \r\n place"," \r\n and time frequently. Approach client slowly rationale: This is a therapeutic intervention for clients who are confused and agitated. It can help to reduce anxiety and promote trust. Alternate nursing staff daily rationale: This is not recommended as it can lead to confusion and anxiety in the client. Consistency in care providers can help to promote trust and understanding. Maintain a low stimulation environment rationale: This can help to reduce agitation and confusion in the client. A calm and quiet environment can promote relaxation and understanding. Reorient client to person"," \r\n place"," \r\n and time frequently rationale: This is a therapeutic intervention for clients who are confused. It can help to promote reality orientation and reduce confusion. Provide the client with limited information about the diagnosis rationale: This is not recommended as it can lead to confusion and anxiety in the client. Clients have the right to be fully informed about their diagnosis and treatment."]
No explanation
Correct Answer is A
Explanation
Choice A rationale:
Re-engaging the child in an appropriate activity is a good example of the redirection technique.
Choice B rationale:
Moving closer to the child when they are agitated could escalate the situation rather than calm it.
Choice C rationale:
Using role-playing to enhance new behavioral skills is a good strategy, but it is not an example of the redirection technique.
Choice D rationale:
Ignoring attention-seeking behaviors could lead to an escalation of those behaviors as the child seeks attention.
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