Nokea
A patient with obsessive-compulsive disorder (OCD) frequently washes their hands. Which nursing intervention is most appropriate?
- A. Allow the patient to wash their hands, then gradually limit the time spent on this behavior.
- B. Discourage the patient from discussing their obsessions.
- C. Encourage the patient to suppress their compulsive behaviors.
- D. Avoid setting limits on the patient's compulsive behaviors.
Correct Answer: A
Rationale: In managing a patient with OCD who frequently washes their hands, it is important to understand that compulsive behaviors provide temporary relief from anxiety. Allowing the patient to engage in their rituals initially and then gradually setting limits on the time spent can help them gain control over their compulsions. This approach supports the patient without causing undue distress, ultimately assisting in managing OCD symptoms effectively. Choice B is incorrect as discouraging the patient from discussing their obsessions can hinder therapeutic communication and understanding of their condition. Choice C is wrong because encouraging the patient to suppress their compulsive behaviors may increase their anxiety and lead to worsening symptoms. Choice D is also incorrect as avoiding setting limits on the patient's compulsive behaviors does not help the patient in gaining control over their OCD symptoms.
You may also like to solve these questions
In treating PTSD, which type of therapy is most commonly recommended?
- A. Cognitive-behavioral therapy (CBT)
- B. Psychoanalytic therapy
- C. Humanistic therapy
- D. Gestalt therapy
Correct Answer: A
Rationale: Cognitive-behavioral therapy (CBT) is the most commonly recommended therapy for PTSD due to its effectiveness in helping patients identify and change negative thoughts and behaviors associated with trauma. This therapy focuses on providing practical coping strategies to manage symptoms and process traumatic experiences. Psychoanalytic therapy, humanistic therapy, and gestalt therapy are less commonly used for PTSD as they may not target the specific symptoms and cognitive distortions associated with this disorder.
Which assessment question will provide information regarding the effects of a woman's circadian rhythms on her quality of life?
- A. How much sleep do you usually get each night?
- B. Does your heart ever seem to skip a beat?
- C. When was the last time you had a fever?
- D. Do you have problems urinating?
Correct Answer: A
Rationale: The correct answer is A: 'How much sleep do you usually get each night?' Asking about sleep patterns is essential to understand the impact of circadian rhythms on an individual's quality of life. Adequate sleep is closely linked to circadian rhythms, and disturbances in sleep patterns can significantly affect a person's well-being and daily functioning. Choices B, C, and D are not directly related to circadian rhythms and would not provide information specifically about how circadian rhythms affect quality of life.
What is the most appropriate intervention for a patient experiencing a panic attack?
- A. Encourage the patient to talk about their feelings.
- B. Provide a quiet and non-stimulating environment.
- C. Administer prescribed medication immediately.
- D. Teach the patient relaxation techniques.
Correct Answer: B
Rationale: During a panic attack, it is crucial to provide a quiet and non-stimulating environment to help the patient feel safe and reduce sensory overload. This approach can help the patient focus on calming down and regaining control. Encouraging the patient to talk about their feelings may exacerbate the panic attack by increasing stress and arousal levels. Administering medication should be done following healthcare provider's orders, as it may not be appropriate to give medication immediately without proper assessment. Teaching relaxation techniques might not be effective during the acute phase of a panic attack when the individual is overwhelmed by intense anxiety.
A nurse is providing discharge teaching to a patient prescribed fluoxetine for panic disorder. Which statement should be included in the teaching?
- A. You should notice the effects of this medication within a few days.
- B. It's important to take this medication only when you feel anxious.
- C. It may take several weeks before you notice the full effects of this medication.
- D. You can stop taking this medication as soon as you feel better.
Correct Answer: C
Rationale: The correct statement to include in the teaching is that it may take several weeks before the patient notices the full effects of fluoxetine. This is because fluoxetine, like other SSRIs, requires time to reach its full therapeutic effect. Choice A is incorrect as fluoxetine does not show its effects within a few days. Choice B is incorrect as fluoxetine should be taken regularly as prescribed, not only when feeling anxious. Choice D is incorrect as discontinuing fluoxetine abruptly can lead to withdrawal symptoms and a return of panic disorder symptoms.
What is the primary benefit of cognitive-behavioral therapy (CBT) for patients with anxiety disorders?
- A. It focuses on the long-term use of medications.
- B. It helps patients understand and change their thought patterns.
- C. It primarily addresses childhood traumas.
- D. It encourages patients to avoid anxiety-provoking situations.
Correct Answer: B
Rationale: The primary benefit of cognitive-behavioral therapy (CBT) for patients with anxiety disorders is that it helps individuals understand and change their thought patterns. By doing so, patients can effectively reduce their anxiety levels by altering their responses to anxious thoughts and situations, leading to improved coping mechanisms and overall well-being. Choice A is incorrect because CBT does not focus on the long-term use of medications but rather on changing cognitive patterns. Choice C is incorrect because while CBT may address past experiences, its primary focus is on current thoughts and behaviors. Choice D is incorrect as CBT aims to help patients confront and manage anxiety-provoking situations rather than avoid them.