(Select all that apply) A nurse is collaborating with other healthcare professionals to provide comprehensive care for a patient with OCD. Which actions should the nurse take as part of this collaboration?
Sharing patient information without consent.
Communicating treatment progress to the team.
Referring the patient to support groups.
Excluding the patient from treatment decisions.
Coordinating medication adjustments.
Correct Answer : B,C,E
Choice A rationale:
Sharing patient information without consent violates patient privacy and confidentiality. This goes against ethical and legal standards in healthcare.
Choice B rationale:
This is a correct choice. Communicating treatment progress to the healthcare team ensures everyone is informed and can provide coordinated care. Collaboration and information sharing are important for comprehensive patient management.
Choice C rationale:
Referring the patient to support groups is a collaborative action that can provide additional avenues of help and coping strategies. Support groups can offer a sense of community and understanding among individuals facing similar challenges.
Choice D rationale:
Excluding the patient from treatment decisions contradicts patient-centered care and shared decision-making principles. Collaboration involves involving the patient in their own care.
Choice E rationale:
Coordinating medication adjustments is a collaborative action as medications are often managed by healthcare professionals such as doctors or nurse practitioners. Adjustments should be made collectively to ensure the best outcome for the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The statement that higher medication doses are needed to quickly suppress all obsessive thoughts and compulsive behaviors is not accurate. Medication dosages are adjusted based on individual response and tolerability, and the goal is not necessarily to use the highest dose possible.
Choice B rationale:
The correct answer. Starting with a low dose is a common practice in psychiatric medication management. This helps the body adjust to the medication gradually, reducing the likelihood and severity of side effects. As the body becomes accustomed to the medication, the dose can be gradually increased to achieve the desired therapeutic effect.
Choice C rationale:
The goal of achieving complete relief from obsessions and compulsions within a few days is an unrealistic expectation. Psychiatric medications typically require time to take effect, often several weeks, and complete relief might not occur for all individuals.
Choice D rationale:
Correct Answer is B
Explanation
Choice A rationale:
Telling the client "It's okay, you don't have to wash your hands" might invalidate the client's feelings and fears, leading to increased anxiety. The client's compulsion to wash their hands is driven by their obsessive thoughts, and dismissing this behavior can be counterproductive.
Choice B rationale:
The correct response acknowledges the client's anxiety and opens a conversation about their feelings. This approach helps build a therapeutic relationship and provides an opportunity for the client to express their concerns. It's essential to address the underlying anxieties associated with OCD to promote better coping strategies.
Choice C rationale:
Telling the client to "calm down and stop thinking about washing your hands" oversimplifies the situation. People with OCD often struggle with controlling their obsessive thoughts and compulsions, and such a directive can be ineffective and frustrating for the client.
Choice D rationale:
Offering to "help you wash your hands" reinforces the client's compulsion rather than addressing the root cause of their anxiety. Enabling their compulsive behavior can contribute to the maintenance of their OCD symptoms.
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