Nokea
A client with OCD is admitted to the psychiatric unit. Which of the following would be most appropriate for the nurse to include in the client's care plan?
- A. Allow time for the client to perform needed rituals.
- B. Immediately stop the client from performing rituals.
- C. Teach the client that the rituals are not necessary.
- D. Distract the client with other activities whenever rituals are performed.
Correct Answer: A
Rationale: Allowing time for rituals reduces anxiety and supports the client's sense of security, unlike immediate cessation or distraction, which may increase distress.
You may also like to solve these questions
Which of the following are features of the thinking of a person who has OCD according to the cognitive model?
- A. The person with OCD employs a minimalist approach to all aspects of his or her life.
- B. The person with OCD believes one's thoughts are overly important and has a need to control those thoughts as they overestimate the threat posed by their thoughts.
- C. The person with OCD is always aware that his or her behavior is related to OCD.
- D. The person with OCD is concerned with perfectionism and has an intolerance of uncertainty.
- E. The person with OCD has an inflated personal responsibility
Correct Answer: B,D,E
Rationale: OCD thinking involves overestimating thought importance, perfectionism, intolerance of uncertainty, and inflated responsibility, but not minimalism or constant awareness of OCD-related behavior.
Which of the following is essential for the nurse to communicate to the client with OCD and to the client's family?
- A. The client's diagnosis should be kept secret from everyone outside the immediate family and friends.
- B. The importance of medication compliance and that it may be necessary for medication to be changed to find the one that works best.
- C. It is important for the client to avoid following a routine.
- D. It is helpful for others to give unsolicited advice about other activities the client with OCD can engage in.
Correct Answer: B
Rationale: Emphasizing medication compliance and potential adjustments is crucial for effective OCD management, unlike secrecy, avoiding routines, or unsolicited advice, which are counterproductive.
Before eating a meal, a client with obsessive/compulsive disorder must wash her hands for 14 minutes, comb her hair for 114 strokes, and switch the light off and on 44 times. When evaluating the progress of the client, what is the most important treatment objective for this client?
- A. Allow ample time for completion of all rituals before each meal.
- B. Gradually decrease the amount of time spent for performing rituals.
- C. Increase the client's acceptance of the need for medication to control rituals.
- D. Omit one ritualistic behavior every 4 days until all rituals are eliminated.
Correct Answer: B
Rationale: Gradually reducing ritual time is key to restoring functional daily routines, unlike allowing full rituals, focusing solely on medication, or abrupt ritual elimination.
Which of the following is an important part of therapeutic communication for clients who have OCD?
- A. To encourage the client to keep the obsession secret.
- B. To encourage the client to discuss his or her obsession with the nurse.
- C. The nurse must have the same obsession as the client.
- D. The nurse must instruct the client to discuss the obsession.
Correct Answer: B
Rationale: Encouraging discussion of obsessions fosters therapeutic trust and insight, unlike secrecy, shared obsessions, or mandating discussion, which are not therapeutic.
Which of the following is the most important variable in determining the likelihood of success in improving life for a client with OCD?
- A. The client must be willing to make changes in his or her behavior.
- B. The client must acknowledge that the behavior is not in his or her control.
- C. The client must allow the nurse to decide the appropriate intervention for him or her.
- D. The client must be willing to try all new relaxation techniques.
Correct Answer: A
Rationale: The client's willingness to change behavior is critical for successful OCD management, unlike acknowledging lack of control or relying solely on nurse-directed interventions.