Which goal is appropriate for the client being treated for obsessive-compulsive disorder with response prevention therapy?

The client will implement relaxation techniques to help manage his or her anxiety within 2 days.

The client will demonstrate an understanding of the benefits of deep breathing within 2 days.

The client will deliberately confront the trigger of his or her anxiety within 3 months.

The client will experience notably less anxiety when engaged in delaying the ritual within 3 months.

Answer and Explanation

The Correct Answer is D

Choice A reason: Implementing relaxation techniques is a helpful goal, but it does not directly address the compulsive behavior which is the focus of response prevention therapy.

Choice B reason: Understanding the benefits of deep breathing is beneficial, but it is not the primary goal of response prevention therapy.

Choice C reason: Confronting the trigger is part of the process, but the ultimate goal is to reduce anxiety associated with delaying or preventing the ritual.

Choice D reason: This is the correct choice. The primary goal of response prevention therapy is to reduce the anxiety associated with OCD rituals, making this the most appropriate goal.

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Correct Answer is B

Explanation

Choice A reason: The Mental Status Examination (MSE) is used to assess a patient's mental state but is not specific for identifying the severity of alcohol withdrawal symptoms.

Choice B reason: The CAGE questionnaire is a widely used screening tool that helps in identifying alcohol problems, including the risk and severity of withdrawal.

Choice C reason: The term 'PERSONS' does not correspond to a recognized screening tool for alcohol withdrawal severity.

A. Engaging the client in recreational activities. B. Requesting a prescription for an anti-anxiety agent. C. Oﬀering the client therapy to calm down. D. Remaining with the client to assess needs.

Correct Answer is D

Explanation

Choice A reason: Engaging in activities might be too demanding during a panic atack and could potentially exacerbate the client's anxiety.

Choice B reason: While medication may be part of the treatment plan, the immediate priority is to ensure the client's safety and comfort, which is best achieved by staying with them.

Choice C reason: Oﬀering therapy in the midst of a panic atack is not practical; the immediate need is to help the client feel safe and manage their acute symptoms.

Choice D reason: Staying with the client to assess their needs is the most appropriate immediate intervention to ensure safety and provide reassurance during a panic atack.

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Which goal is appropriate for the client being treated for obsessive-compulsive disorder with response prevention therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

Correct Answer is B

Explanation

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

Correct Answer is D

Explanation

Which client is most likely to benefit from electroconvulsive therapy (ECT)?

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?

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?

Nurses are encouraged to constantly be aware of the nonverbal communication of a client with mental illness primarily for which reason?

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 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?

The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?

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