The nurse is caring for a client with obsessive-compulsive disorder (OCD). Which action by the nurse will increase the client's sense of security?

Stopping the client from performing the rituals.

Allowing the client to perform the rituals.

Encouraging the client to talk about the purpose of the rituals.

Distracting the client from rituals with other activities.

Answer and Explanation

The Correct Answer is B

Choice A reason: Stopping the client from performing rituals can increase anxiety and distress. Rituals are a coping mechanism for individuals with OCD, and abruptly preventing them can lead to a significant increase in anxiety.

Choice B reason: Allowing the client to perform rituals can provide a sense of security and control, which is important for individuals with OCD. Over time, with appropriate therapy, the need for these rituals can be reduced.

Choice C reason: While encouraging the client to talk about the purpose of the rituals can be part of cognitive-behavioral therapy, it may not immediately increase the client's sense of security. This approach is more about understanding and eventually managing the compulsions.

Choice D reason: Distracting the client from rituals with other activities can be a helpful strategy in therapy but may not directly increase the client's sense of security. It can be used as a part of a comprehensive treatment plan to gradually reduce the reliance on rituals.

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Correct Answer is B

Explanation

Choice A reason: This statement is incorrect because stimulants used to treat ADHD can actually cause insomnia and might reduce the amount of sleep a child gets.

Choice B reason: This is the correct statement. Parents acknowledging the potential side eﬀects of stimulant medications, such as insomnia, loss of appetite, or weight loss, indicates an understanding of the medication's eﬀects.

Choice C reason: This statement could be correct depending on the specific medication prescribed, but it does not reﬂect an understanding of the potential side eﬀects, which is crucial for managing the child's care.

Choice D reason: Regular blood level checks are not typically required for ADHD stimulant medications, so this statement does not indicate eﬀective teaching about the medication.

A. A client with a blood glucose level of 110 mg/dL (6.1 mmol/L). B. A client who sustained a fractured femur in a motor vehicle crash. C. An adult client being prepared for a laparoscopic cholecystectomy. D. An older adult client with sepsis from a urinary tract infection.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. A blood glucose level of 110 mg/dL is within normal range and does not significantly increase the risk of delirium.

Choice B reason: While a fractured femur can be painful and stressful, it does not pose the highest risk for delirium compared to sepsis.

Choice C reason: Preparation for surgery can be a risk factor for delirium, but it is not as high a risk as sepsis in an older adult.

Choice D reason: This is the correct choice. Older adults with sepsis are at a high risk for delirium due to the systemic infection and its impact on overall health.

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The nurse is caring for a client with obsessive-compulsive disorder (OCD). Which action by the nurse will increase the client's sense of security?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 9-year-old client with atention deficit hyperactivity disorder (ADHD) has been placed on a stimulant. The nurse knows that the teaching has been eﬀective when the client's parents make which statement?

Correct Answer is B

Explanation

The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?

Correct Answer is D

Explanation

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