Practice Question
A client with obsessive compulsive disorder performs ritualistic behaviors for most of the day which interferes with normal activities of daily living. The nurse notices the client is counting each step taken and hears, "Twenty-six thousand four hundred fifty-two. Twenty-six thousand four hundred fifty-three..." Which nursing intervention is best?
Answer Choices:
Correct Answer:
Gradually limit the time spent on the ritual
Rationale:
🎀Gradually limiting the time spent on the ritual is a therapeutic approach for OCD, allowing the client to learn to tolerate anxiety without performing compulsions.
🎀Interrupting the client or stopping the ritual abruptly can increase anxiety and is counterproductive.
🎀PRN medications can help, but gradually reducing the ritual behavior is a more effective long-term strategy.
Want to practice more questions like this?
This question is from Exam 2 Mental Health which contains 50 questions.
More Questions from This Exam
A client experiencing a panic attack would display which physical symptom?
Answer Choices:
A. Restlessness and pacing
B. Sweating and palpitations
C. Depersonalization
D. Hallucinations
The nurse has received the evening report. Which client would the nurse need to assess first?
Answer Choices:
A. A newly admitted client with a history of panic attacks
B. A client who slept three hours last night because of flashbacks
C. A client pacing the halls and stating that his or her anxiety is an 8/10
D. A client diagnosed with generalized anxiety disorder awaiting discharge
The nurse is using a cognitive intervention to decrease anxiety during a client's panic attack. Which client statement would indicate that the intervention has been successful?
Answer Choices:
A. "I reminded myself that the panic attack would end soon, and it helped."
B. "I paced the halls until I felt my anxiety was under control."
C. "I felt my anxiety increase, so I took a lorazepam (Ativan) to decrease it.”
D. "Thank you for staying with me. It helped to know staff was there."
Which of the following describes assisting the client to confront situations and anxiety-provoking stimuli?
Answer Choices:
A. Exposure
B. Response prevention
C. Avoidance behavior
D. Assertiveness training
A client chronically pulls out his or her hair as a self-soothing behavior. The nurse documents on the client's chart, "Noted multiple bald spots on the clients scalp and right eyebrow.” The client is displaying symptoms of which disorder?
Answer Choices:
A. Trichotillomania
B. Excoriation disorder
C. Oniomania
D. Kleptomania
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Mental Health
- Answer Choices: 4