Question 1

A nurse is evaluating the plan of care for a client diagnosed with obsessive-compulsive disorder (OCD). Which client statement indicates a positive outcome for the plan of care?

Accepted Answer

A)The client who acknowledges improvement when washing hands less frequently recognizes that continued obsessive-compulsive behaviors are not an indication of treatment failure and that reductions in behavior signify positive progress. The client who has substituted the ritualistic use of hand sanitizer for the ritualistic hand washing has not demonstrated adequate coping skills to control anxiety related to absence of ritualistic compulsive behaviors. The client who sees nothing wrong with washing hands several times a day does not recognize that the ritualistic hand washing is a problem.
B)The client who acknowledges improvement when washing hands less frequently recognizes that continued obsessive-compulsive behaviors are not an indication of treatment failure and that reductions in behavior signify positive progress. The client who has substituted the ritualistic use of hand sanitizer for the ritualistic hand washing has not demonstrated adequate coping skills to control anxiety related to absence of ritualistic compulsive behaviors. The client who sees nothing wrong with washing hands several times a day does not recognize that the ritualistic hand washing is a problem.
C)The client who acknowledges improvement when washing hands less frequently recognizes that continued obsessive-compulsive behaviors are not an indication of treatment failure and that reductions in behavior signify positive progress. The client who has substituted the ritualistic use of hand sanitizer for the ritualistic hand washing has not demonstrated adequate coping skills to control anxiety related to absence of ritualistic compulsive behaviors. The client who sees nothing wrong with washing hands several times a day does not recognize that the ritualistic hand washing is a problem.
D)The client who acknowledges improvement when washing hands less frequently recognizes that continued obsessive-compulsive behaviors are not an indication of treatment failure and that reductions in behavior signify positive progress. The client who has substituted the ritualistic use of hand sanitizer for the ritualistic hand washing has not demonstrated adequate coping skills to control anxiety related to absence of ritualistic compulsive behaviors. The client who sees nothing wrong with washing hands several times a day does not recognize that the ritualistic hand washing is a problem.

Question 2

A pregnant woman has just been informed that her baby will be born with spina bifida. The woman begins to cry, stating "Why is this happening to me? I can't take care of a baby with a disability. I can't afford to pay for all the treatments the baby will need. What am I going to do?" What is the best response by the nurse?

Accepted Answer

A)Ignoring the woman's concerns or providing platitudes that may not be true are not effective ways to provide support to a pregnant woman in crisis. Instead, nursing interventions that increase knowledge about the crisis situation will increase the woman's ability to cope with the stressor.
B)Ignoring the woman's concerns or providing platitudes that may not be true are not effective ways to provide support to a pregnant woman in crisis. Instead, nursing interventions that increase knowledge about the crisis situation will increase the woman's ability to cope with the stressor.
C)Ignoring the woman's concerns or providing platitudes that may not be true are not effective ways to provide support to a pregnant woman in crisis. Instead, nursing interventions that increase knowledge about the crisis situation will increase the woman's ability to cope with the stressor.
D)Ignoring the woman's concerns or providing platitudes that may not be true are not effective ways to provide support to a pregnant woman in crisis. Instead, nursing interventions that increase knowledge about the crisis situation will increase the woman's ability to cope with the stressor.

Question 3

What important fact should the nurse relay to the young adult who was just diagnosed with obsessive-compulsive disorder?

Accepted Answer

A)Without treatment, the rate of remission of OCD is estimated to be low. Therefore, treatment is essential; the disorder will not usually get better over time without treatment. Many individuals with OCD recognize that their obsessive thoughts are false or unlikely to happen, but that does not lessen their impact. Individuals with OCD perform compulsions to lessen anxiety, and they are often unable to control whether or not they perform the actions.
B)Without treatment, the rate of remission of OCD is estimated to be low. Therefore, treatment is essential; the disorder will not usually get better over time without treatment. Many individuals with OCD recognize that their obsessive thoughts are false or unlikely to happen, but that does not lessen their impact. Individuals with OCD perform compulsions to lessen anxiety, and they are often unable to control whether or not they perform the actions.
C)Without treatment, the rate of remission of OCD is estimated to be low. Therefore, treatment is essential; the disorder will not usually get better over time without treatment. Many individuals with OCD recognize that their obsessive thoughts are false or unlikely to happen, but that does not lessen their impact. Individuals with OCD perform compulsions to lessen anxiety, and they are often unable to control whether or not they perform the actions.
D)Without treatment, the rate of remission of OCD is estimated to be low. Therefore, treatment is essential; the disorder will not usually get better over time without treatment. Many individuals with OCD recognize that their obsessive thoughts are false or unlikely to happen, but that does not lessen their impact. Individuals with OCD perform compulsions to lessen anxiety, and they are often unable to control whether or not they perform the actions.

Question 4

For a client with obsessive-compulsive disorder with contamination obsessions, what nursing assessment is essential to development of an effective client care plan?

Accepted Answer

A)Clients with contamination obsessions often have compulsions related to cleaning and washing, especially washing the hands. Continual exposure to water and cleansing agents may result in loss of skin integrity. Assessment for sexual activity or religious beliefs would be more important if the client had aggressive, sexual, or religious obsessions. Assessment for tics would be more important for individuals with symmetry obsessions.
B)Clients with contamination obsessions often have compulsions related to cleaning and washing, especially washing the hands. Continual exposure to water and cleansing agents may result in loss of skin integrity. Assessment for sexual activity or religious beliefs would be more important if the client had aggressive, sexual, or religious obsessions. Assessment for tics would be more important for individuals with symmetry obsessions.
C)Clients with contamination obsessions often have compulsions related to cleaning and washing, especially washing the hands. Continual exposure to water and cleansing agents may result in loss of skin integrity. Assessment for sexual activity or religious beliefs would be more important if the client had aggressive, sexual, or religious obsessions. Assessment for tics would be more important for individuals with symmetry obsessions.
D)Clients with contamination obsessions often have compulsions related to cleaning and washing, especially washing the hands. Continual exposure to water and cleansing agents may result in loss of skin integrity. Assessment for sexual activity or religious beliefs would be more important if the client had aggressive, sexual, or religious obsessions. Assessment for tics would be more important for individuals with symmetry obsessions.

Question 5

A client is prescribed fluoxetine (Prozac)for treatment of obsessive-compulsive disorder. During the latest office visit, the client washes the hands while counting to 10 and repeats the process every 5 minutes. Which is the priority assessment for the nurse to complete for this client?

Accepted Answer

A)Fluoxetine (Prozac)is one medication prescribed for the treatment of obsessive-compulsive disorder. Because the client is demonstrating continuing signs of the disorder, the nurse should assess if the client is taking the medication as prescribed. The client would have other signs and symptoms if taking too much medication. There are no specific foods to avoid when taking this medication. Continuing symptoms of obsessive-compulsive disorder is not a side effect of the medication.
B)Fluoxetine (Prozac)is one medication prescribed for the treatment of obsessive-compulsive disorder. Because the client is demonstrating continuing signs of the disorder, the nurse should assess if the client is taking the medication as prescribed. The client would have other signs and symptoms if taking too much medication. There are no specific foods to avoid when taking this medication. Continuing symptoms of obsessive-compulsive disorder is not a side effect of the medication.
C)Fluoxetine (Prozac)is one medication prescribed for the treatment of obsessive-compulsive disorder. Because the client is demonstrating continuing signs of the disorder, the nurse should assess if the client is taking the medication as prescribed. The client would have other signs and symptoms if taking too much medication. There are no specific foods to avoid when taking this medication. Continuing symptoms of obsessive-compulsive disorder is not a side effect of the medication.
D)Fluoxetine (Prozac)is one medication prescribed for the treatment of obsessive-compulsive disorder. Because the client is demonstrating continuing signs of the disorder, the nurse should assess if the client is taking the medication as prescribed. The client would have other signs and symptoms if taking too much medication. There are no specific foods to avoid when taking this medication. Continuing symptoms of obsessive-compulsive disorder is not a side effect of the medication.

Question 6

The home care nurse observes a client scrubbing areas throughout the house over and over, especially areas where the family gathers. Prior to planning care for this client, which must the nurse assess?

Accepted Answer

A)Obsessive-compulsive disorder impacts the family system, especially with impaired role function. How frequently or thoroughly the client cleans the house may be important to assess, but they are not the most important. Forgetfulness is not a component of obsessive-compulsive disorder.
B)Obsessive-compulsive disorder impacts the family system, especially with impaired role function. How frequently or thoroughly the client cleans the house may be important to assess, but they are not the most important. Forgetfulness is not a component of obsessive-compulsive disorder.
C)Obsessive-compulsive disorder impacts the family system, especially with impaired role function. How frequently or thoroughly the client cleans the house may be important to assess, but they are not the most important. Forgetfulness is not a component of obsessive-compulsive disorder.
D)Obsessive-compulsive disorder impacts the family system, especially with impaired role function. How frequently or thoroughly the client cleans the house may be important to assess, but they are not the most important. Forgetfulness is not a component of obsessive-compulsive disorder.

Question 7

Which finding would indicate that treatment for a client with obsessive-compulsive disorder is effective?

Accepted Answer

A)The client who watches television while eating meals and engages in conversation with a roommate is exhibiting behavior that suggests treatment for obsessive-compulsive disorder is effective. This behavior is evidence of reduced anxiety and less of a need to engage in ritualistic behavior. The other observations would indicate the need for additional treatment.
B)The client who watches television while eating meals and engages in conversation with a roommate is exhibiting behavior that suggests treatment for obsessive-compulsive disorder is effective. This behavior is evidence of reduced anxiety and less of a need to engage in ritualistic behavior. The other observations would indicate the need for additional treatment.
C)The client who watches television while eating meals and engages in conversation with a roommate is exhibiting behavior that suggests treatment for obsessive-compulsive disorder is effective. This behavior is evidence of reduced anxiety and less of a need to engage in ritualistic behavior. The other observations would indicate the need for additional treatment.
D)The client who watches television while eating meals and engages in conversation with a roommate is exhibiting behavior that suggests treatment for obsessive-compulsive disorder is effective. This behavior is evidence of reduced anxiety and less of a need to engage in ritualistic behavior. The other observations would indicate the need for additional treatment.

Question 8

The nurse is concerned that a client is demonstrating signs of obsessive-compulsive disorder. Which clinical manifestations and risk factors identified during the nursing assessment caused the nurse's concern? Select all that apply.

Accepted Answer

A)Obsessive-compulsive disorder affects men and women equally; however, women often develop the disorder in adolescence or early adulthood. Checking and repeating are two common compulsions related to symmetry obsessions. Lack of eye contact and using the bathroom during an assessment are not manifestations of the disorder.
B)Obsessive-compulsive disorder affects men and women equally; however, women often develop the disorder in adolescence or early adulthood. Checking and repeating are two common compulsions related to symmetry obsessions. Lack of eye contact and using the bathroom during an assessment are not manifestations of the disorder.
C)Obsessive-compulsive disorder affects men and women equally; however, women often develop the disorder in adolescence or early adulthood. Checking and repeating are two common compulsions related to symmetry obsessions. Lack of eye contact and using the bathroom during an assessment are not manifestations of the disorder.
D)Obsessive-compulsive disorder affects men and women equally; however, women often develop the disorder in adolescence or early adulthood. Checking and repeating are two common compulsions related to symmetry obsessions. Lack of eye contact and using the bathroom during an assessment are not manifestations of the disorder.
E)Obsessive-compulsive disorder affects men and women equally; however, women often develop the disorder in adolescence or early adulthood. Checking and repeating are two common compulsions related to symmetry obsessions. Lack of eye contact and using the bathroom during an assessment are not manifestations of the disorder.

Question 9

A mother says to the nurse, "I think my teenage son is showing signs of obsessive-compulsive disorder, just like his father." Which risk factors in the client's medical history would support this diagnosis? Select all that apply.

Accepted Answer

A)Risk factors for obsessive-compulsive disorder include having a first-degree relative with the disorder and going through a major life stressor. Men develop the disorder earlier than women. Living with parents, being unemployed, or having a history of chronic illnesses are not risk factors for the disorder.
B)Risk factors for obsessive-compulsive disorder include having a first-degree relative with the disorder and going through a major life stressor. Men develop the disorder earlier than women. Living with parents, being unemployed, or having a history of chronic illnesses are not risk factors for the disorder.
C)Risk factors for obsessive-compulsive disorder include having a first-degree relative with the disorder and going through a major life stressor. Men develop the disorder earlier than women. Living with parents, being unemployed, or having a history of chronic illnesses are not risk factors for the disorder.
D)Risk factors for obsessive-compulsive disorder include having a first-degree relative with the disorder and going through a major life stressor. Men develop the disorder earlier than women. Living with parents, being unemployed, or having a history of chronic illnesses are not risk factors for the disorder.
E)Risk factors for obsessive-compulsive disorder include having a first-degree relative with the disorder and going through a major life stressor. Men develop the disorder earlier than women. Living with parents, being unemployed, or having a history of chronic illnesses are not risk factors for the disorder.

Question 10

The mother of a 12-year-old child with obsessive-compulsive disorder (OCD)tells the nurse that the child tends to get angry and throw a fit when the parents prevent him from performing compulsions in public. She tells the nurse that they don't have this problem at home because they just let him perform his rituals. The mother asks the nurse why he has these. What is the best response by the nurse?

Accepted Answer

A)Studies indicate that children and adolescents are more likely than adults to suffer rage attacks in relation to their OCD, a phenomenon that is enhanced if their family accommodates or reinforces their OCD behaviors. Telling the mother about this link can help the parents see the need to change their actions, which may eventually help decrease the rage attacks in public. Not taking the child out in public, reinforcing the behaviors in public, or immediately disciplining the child will not be beneficial to the child.
B)Studies indicate that children and adolescents are more likely than adults to suffer rage attacks in relation to their OCD, a phenomenon that is enhanced if their family accommodates or reinforces their OCD behaviors. Telling the mother about this link can help the parents see the need to change their actions, which may eventually help decrease the rage attacks in public. Not taking the child out in public, reinforcing the behaviors in public, or immediately disciplining the child will not be beneficial to the child.
C)Studies indicate that children and adolescents are more likely than adults to suffer rage attacks in relation to their OCD, a phenomenon that is enhanced if their family accommodates or reinforces their OCD behaviors. Telling the mother about this link can help the parents see the need to change their actions, which may eventually help decrease the rage attacks in public. Not taking the child out in public, reinforcing the behaviors in public, or immediately disciplining the child will not be beneficial to the child.
D)Studies indicate that children and adolescents are more likely than adults to suffer rage attacks in relation to their OCD, a phenomenon that is enhanced if their family accommodates or reinforces their OCD behaviors. Telling the mother about this link can help the parents see the need to change their actions, which may eventually help decrease the rage attacks in public. Not taking the child out in public, reinforcing the behaviors in public, or immediately disciplining the child will not be beneficial to the child.

Question 11

The nurse is providing care to a client who is diagnosed with obsessive-compulsive disorder. Which nursing intervention is most appropriate when providing care to this client?

Accepted Answer

A)The client with obsessive-compulsive behavior will not be able to perform the behavior at will, so the nurse needs to discuss the need to incorporate the behavior with other hospital routines. The nurse should not interrupt the behavior, as this will cause the client to start over from the beginning. The nurse should also not confront the client and ask what purpose it serves, as the client might be embarrassed about the behavior. Telling the client that the behavior is unacceptable and must end also will not help the client with the behavior.
B)The client with obsessive-compulsive behavior will not be able to perform the behavior at will, so the nurse needs to discuss the need to incorporate the behavior with other hospital routines. The nurse should not interrupt the behavior, as this will cause the client to start over from the beginning. The nurse should also not confront the client and ask what purpose it serves, as the client might be embarrassed about the behavior. Telling the client that the behavior is unacceptable and must end also will not help the client with the behavior.
C)The client with obsessive-compulsive behavior will not be able to perform the behavior at will, so the nurse needs to discuss the need to incorporate the behavior with other hospital routines. The nurse should not interrupt the behavior, as this will cause the client to start over from the beginning. The nurse should also not confront the client and ask what purpose it serves, as the client might be embarrassed about the behavior. Telling the client that the behavior is unacceptable and must end also will not help the client with the behavior.
D)The client with obsessive-compulsive behavior will not be able to perform the behavior at will, so the nurse needs to discuss the need to incorporate the behavior with other hospital routines. The nurse should not interrupt the behavior, as this will cause the client to start over from the beginning. The nurse should also not confront the client and ask what purpose it serves, as the client might be embarrassed about the behavior. Telling the client that the behavior is unacceptable and must end also will not help the client with the behavior.

Question 12

A 68-year-old female client was recently diagnosed with depression and subclinical obsessive-compulsive symptoms. What does the nurse need to consider when planning care for this client?

Accepted Answer

A)The comorbidity of obsessive-compulsive symptoms and other mental disorders may interfere with responsiveness to treatment and increase the time it takes for medications to be effective in older adults. The obsessive-compulsive symptoms do still need to be treated in the older adult, even though they are subclinical. Although older adult clients with multiple mental health disorders should be assessed for dementia, the assessments do not need to be performed more frequently than normal. Older adults often need lower doses of medication because of an increased risk of side effects.
B)The comorbidity of obsessive-compulsive symptoms and other mental disorders may interfere with responsiveness to treatment and increase the time it takes for medications to be effective in older adults. The obsessive-compulsive symptoms do still need to be treated in the older adult, even though they are subclinical. Although older adult clients with multiple mental health disorders should be assessed for dementia, the assessments do not need to be performed more frequently than normal. Older adults often need lower doses of medication because of an increased risk of side effects.
C)The comorbidity of obsessive-compulsive symptoms and other mental disorders may interfere with responsiveness to treatment and increase the time it takes for medications to be effective in older adults. The obsessive-compulsive symptoms do still need to be treated in the older adult, even though they are subclinical. Although older adult clients with multiple mental health disorders should be assessed for dementia, the assessments do not need to be performed more frequently than normal. Older adults often need lower doses of medication because of an increased risk of side effects.
D)The comorbidity of obsessive-compulsive symptoms and other mental disorders may interfere with responsiveness to treatment and increase the time it takes for medications to be effective in older adults. The obsessive-compulsive symptoms do still need to be treated in the older adult, even though they are subclinical. Although older adult clients with multiple mental health disorders should be assessed for dementia, the assessments do not need to be performed more frequently than normal. Older adults often need lower doses of medication because of an increased risk of side effects.

Question 13

A nurse is providing discharge instructions to a client recently diagnosed with obsessive-compulsive disorder (OCD)and prescribed fluvoxamine (Luvox). Which statement made by the client indicates to the nurse that the client understands the instructions?

Accepted Answer

A)This statement indicates that the client understands instruction regarding this medication. A client should continue taking fluvoxamine (Luvox)for 1-2 years, at which time a physician may begin gradually tapering, while observing the client for symptom exacerbation. Fluvoxamine (Luvox)does have side effects; however, it has fewer side effects than clomipramine and is recommended for the first medication trial. Fluvoxamine (Luvox)is approved by the U.S. Food and Drug Administration (FDA)for treatment of OCD.
B)This statement indicates that the client understands instruction regarding this medication. A client should continue taking fluvoxamine (Luvox)for 1-2 years, at which time a physician may begin gradually tapering, while observing the client for symptom exacerbation. Fluvoxamine (Luvox)does have side effects; however, it has fewer side effects than clomipramine and is recommended for the first medication trial. Fluvoxamine (Luvox)is approved by the U.S. Food and Drug Administration (FDA)for treatment of OCD.
C)This statement indicates that the client understands instruction regarding this medication. A client should continue taking fluvoxamine (Luvox)for 1-2 years, at which time a physician may begin gradually tapering, while observing the client for symptom exacerbation. Fluvoxamine (Luvox)does have side effects; however, it has fewer side effects than clomipramine and is recommended for the first medication trial. Fluvoxamine (Luvox)is approved by the U.S. Food and Drug Administration (FDA)for treatment of OCD.
D)This statement indicates that the client understands instruction regarding this medication. A client should continue taking fluvoxamine (Luvox)for 1-2 years, at which time a physician may begin gradually tapering, while observing the client for symptom exacerbation. Fluvoxamine (Luvox)does have side effects; however, it has fewer side effects than clomipramine and is recommended for the first medication trial. Fluvoxamine (Luvox)is approved by the U.S. Food and Drug Administration (FDA)for treatment of OCD.

Question 14

A malfunction in what system is thought to contribute to the development of obsessive-compulsive disorder?

Accepted Answer

A)A malfunction in the cortico-striato-thalamo-cortical (CSTC)circuit in the brain is the possible cause for OCD. A malfunction in the other pathways contributes to other conditions or diseases, but they have not been linked to OCD.
B)A malfunction in the cortico-striato-thalamo-cortical (CSTC)circuit in the brain is the possible cause for OCD. A malfunction in the other pathways contributes to other conditions or diseases, but they have not been linked to OCD.
C)A malfunction in the cortico-striato-thalamo-cortical (CSTC)circuit in the brain is the possible cause for OCD. A malfunction in the other pathways contributes to other conditions or diseases, but they have not been linked to OCD.
D)A malfunction in the cortico-striato-thalamo-cortical (CSTC)circuit in the brain is the possible cause for OCD. A malfunction in the other pathways contributes to other conditions or diseases, but they have not been linked to OCD.

Question 15

When caring for a client newly diagnosed with obsessive-compulsive disorder, which action by the nurse is appropriate?

Accepted Answer

A)Do not interrupt the ritual because the client may feel compelled to start from the beginning. For the newly diagnosed client, teaching ritual interruption skills and teaching about antianxiety foods would not be the priority.
B)Do not interrupt the ritual because the client may feel compelled to start from the beginning. For the newly diagnosed client, teaching ritual interruption skills and teaching about antianxiety foods would not be the priority.
C)Do not interrupt the ritual because the client may feel compelled to start from the beginning. For the newly diagnosed client, teaching ritual interruption skills and teaching about antianxiety foods would not be the priority.
D)Do not interrupt the ritual because the client may feel compelled to start from the beginning. For the newly diagnosed client, teaching ritual interruption skills and teaching about antianxiety foods would not be the priority.

Question 16

A client diagnosed with obsessive-compulsive disorder (OCD)is being admitted as an inpatient. The client is obsessed with thoughts of symmetry. Which compulsive behaviors does the nurse anticipate when performing the admission assessment? Select all that apply.

Accepted Answer

A)Repeatedly tapping both wrists on the bedside table and counting the floor tiles demonstrate common behaviors of a client whose obsession is symmetry. A client whose obsession is symmetry often demonstrates counting, ensuring orderliness of items, or fixation on maintaining symmetrical positioning of items, such as repeatedly tapping both wrists on the bedside table. On the other hand, a client whose obsession is cleaning typically demonstrates repetitive performance of decontamination practices, such as repetitive hand washing; avoidance of contamination, such as refusing to shake hands; or repetitive environmental cleaning, such as repeatedly cleaning the top of the bedside table.
B)Repeatedly tapping both wrists on the bedside table and counting the floor tiles demonstrate common behaviors of a client whose obsession is symmetry. A client whose obsession is symmetry often demonstrates counting, ensuring orderliness of items, or fixation on maintaining symmetrical positioning of items, such as repeatedly tapping both wrists on the bedside table. On the other hand, a client whose obsession is cleaning typically demonstrates repetitive performance of decontamination practices, such as repetitive hand washing; avoidance of contamination, such as refusing to shake hands; or repetitive environmental cleaning, such as repeatedly cleaning the top of the bedside table.
C)Repeatedly tapping both wrists on the bedside table and counting the floor tiles demonstrate common behaviors of a client whose obsession is symmetry. A client whose obsession is symmetry often demonstrates counting, ensuring orderliness of items, or fixation on maintaining symmetrical positioning of items, such as repeatedly tapping both wrists on the bedside table. On the other hand, a client whose obsession is cleaning typically demonstrates repetitive performance of decontamination practices, such as repetitive hand washing; avoidance of contamination, such as refusing to shake hands; or repetitive environmental cleaning, such as repeatedly cleaning the top of the bedside table.
D)Repeatedly tapping both wrists on the bedside table and counting the floor tiles demonstrate common behaviors of a client whose obsession is symmetry. A client whose obsession is symmetry often demonstrates counting, ensuring orderliness of items, or fixation on maintaining symmetrical positioning of items, such as repeatedly tapping both wrists on the bedside table. On the other hand, a client whose obsession is cleaning typically demonstrates repetitive performance of decontamination practices, such as repetitive hand washing; avoidance of contamination, such as refusing to shake hands; or repetitive environmental cleaning, such as repeatedly cleaning the top of the bedside table.
E)Repeatedly tapping both wrists on the bedside table and counting the floor tiles demonstrate common behaviors of a client whose obsession is symmetry. A client whose obsession is symmetry often demonstrates counting, ensuring orderliness of items, or fixation on maintaining symmetrical positioning of items, such as repeatedly tapping both wrists on the bedside table. On the other hand, a client whose obsession is cleaning typically demonstrates repetitive performance of decontamination practices, such as repetitive hand washing; avoidance of contamination, such as refusing to shake hands; or repetitive environmental cleaning, such as repeatedly cleaning the top of the bedside table.

Question 17

The nurse is part of a disaster response team caring for individuals after a metro bus collided with a building. What must the nurse consider when assessing the emotional state of each individual?

Accepted Answer

A)Cultural factors may influence how an individual expresses emotions. Just because one person is more reserved than another does not mean they need less care. Although physical injuries may be more urgent, the person's physical and emotional state are both equally important and require nursing care. Individuals of any race or ethnicity can display the characteristic of resilience during a crisis. Individuals who have had a negative experience with the healthcare system may be less open to sharing emotions.
B)Cultural factors may influence how an individual expresses emotions. Just because one person is more reserved than another does not mean they need less care. Although physical injuries may be more urgent, the person's physical and emotional state are both equally important and require nursing care. Individuals of any race or ethnicity can display the characteristic of resilience during a crisis. Individuals who have had a negative experience with the healthcare system may be less open to sharing emotions.
C)Cultural factors may influence how an individual expresses emotions. Just because one person is more reserved than another does not mean they need less care. Although physical injuries may be more urgent, the person's physical and emotional state are both equally important and require nursing care. Individuals of any race or ethnicity can display the characteristic of resilience during a crisis. Individuals who have had a negative experience with the healthcare system may be less open to sharing emotions.
D)Cultural factors may influence how an individual expresses emotions. Just because one person is more reserved than another does not mean they need less care. Although physical injuries may be more urgent, the person's physical and emotional state are both equally important and require nursing care. Individuals of any race or ethnicity can display the characteristic of resilience during a crisis. Individuals who have had a negative experience with the healthcare system may be less open to sharing emotions.

Quiz 31: Stress and Coping

A nurse is evaluating the plan of care for a client diagnosed with obsessive-compulsive disorder (OCD) . Which client statement indicates a positive outcome for the plan of care?