NURS 311 Quiz 9+

197. Hospitalization or day-treatment centers are often indicated for the treatment of a client with an obsessive-compulsive disorder because these settings: a. Prevent the client from completing rituals b. Allow the staff to exert control over the client's activities c. Resolve the client's anxiety because decision making is minimal d. Provide the neutral environment the client needs to work through conflicts

d. Provide the neutral environment the client needs to work through conflicts

204. A nurse is caring for a client with an obsessive-compulsive personality disorder that involves rituals. What should the nurse conclude about the ritual? a. Has a purpose but is useless b. Is performed after long urging c. Appears to be performed willingly d. Seems illogical but is needed by the person

d. Seems illogical but is needed by the person

206. Which is the best nursing intervention during the working phase of the therapeutic relationship to meet the needs of individuals who demonstrate obsessive-compulsive behavior? a. Restricting their movements b. Calling attention to the behavior c. Keeping them busy to distract them d. Supporting rituals while setting realistic limits

d. Supporting rituals while setting realistic limits

203. A client is using ritualistic behaviors. Why should a nurse allow the client ample time for the performance of the ritual? a. Denial of the activity may precipitate panic levels of anxiety b. Anger turned inward on the self should be allowed to be expressed c. Successful performance of independent activities enhances self-esteem d. Ample time provides an opportunity to point out the inappropriate behavior

a. Denial of this activity may precipitate panic levels of anxiety

207. A nurse is caring for a client with a somatoform disorder. What should the nurse anticipate that this client will do? a. Redirect the conversation with the nurse to physical symptoms b. Monopolize conversations about the anxiety being experienced c. Write down conversations to assist in remembering information d. Start a conversation asking the nurse to recommend palliative care

a. Redirect the conversation with the nurse to physical symptoms

196. A nurse is developing a care plan for a client with an obsessive-compulsive behavior disorder. Which nursing intervention will most likely increase the client's anxiety? a. Helping the client understand the nature of the anxiety b. Limiting the client's ritualistic acts to three times a day c. Involving the client in establishing the therapeutic plan d. Providing the client with a nonjudgmental environment

b. Limiting the client's ritualistic acts to three times a day

202. A nurse is caring for a client who uses ritualistic behavior. What common antiobsessional medication does the nurse anticipate will be prescribed. a. Benztropine b. Amantadine c. Fluvoxamine d. Diphenhydramine

c. Fluvoxamine

201. What is the priority discharge criterion for a client who is using ritualistic behaviors. a. Verbalizes positive aspects about the self b. Follows the rules of the therapeutic milieu c. Intervenes to maintain increasing anxiety at a manageable level d. Recognizes that hallucinations occur at times of extreme anxiety

c. Intervenes to maintain increasing anxiety at a manageable level

200. What should a nurse consider when planning care for a client who is using ritualistic behavior? a. Nurses must attempt to limit the ritualistic behavior b. Clients need to realize the ritualistic behavior serves no purpose c. Nurses should try to divert the ritual immediately after it is started d. Clients do not want to repeat the ritual but feel compelled to do so

d. Clients do not want to repeat the ritual but feel compelled to do so

198. What should a nurse include in the initial plan of care for a client with the long-standing, obsessive-compulsive behavior of hand washing? a. Determine the purpose of the ritualistic behavior b. Limit the time allowed for the ritualistic behavior c. Suggest a symptom substitution technique to refocus the ritualistic behavior d. Develop a routine schedule of activities to reduce the need for the ritualistic behavior

d. Develop a routine schedule of activities to reduce the need for the ritualistic behavior

199. A client with a history of obsessive-compulsive behaviors has a marked decrease in symptoms and expresses a wish to obtain a part-time job. On the day of a job interview the client arrives at the mental health center displaying signs of anxiety. What is the nurse's best response to the client's behavior? a. I know you're anxious, but by forcing yourself to go to the interview, you may conquer your fear b. If going to an interview makes you this anxious, it seems as though you're not ready to go back to work c. It must be that you really don't want that job after all. I think you should reconsider going to the interview d. Going for your interview triggered some feelings in you. Perhaps you could call a friend to drive you there

d. Going for your interview triggered some feelings in you. Perhaps you could call a friend to drive you there

205. A nurse is preparing to care for a client who engages in ritualistic behavior. What should the plan of care include? a. Redirect energy into activities to help others b. Teach the client that the behavior is not serving a realistic purpose c. Administer antianxiety medications that block out the memory of internal fears d. Help the client to understand that the behavior is caused by maladaptive coping to increased anxiety

d. Help the client to understand that the behavior is caused by maladaptive coping to increased anxiety