Professional Documents
Culture Documents
Chapter 15
Chapter 15
What kind of behavior does the nurse anticipate observing when treating a client obsessed with blasphemous thoughts?
Praying repeatedly.
The nurse is providing education to a client prescribed clomipramine to help with obsessive-compulsive disorder. Which
statement by the client indicates the teaching was effective?
The client has begun to wash the hands every hour due to the fear of germs becoming embedded in the client's skin
leading the client to develop cancer. The nurse interprets this behavior as indicating which condition?
A compulsion
The nurse is caring for a client with dermatillomania. What symptoms of this disorder does the nurse recognize in this
client?
How does the nurse help to decrease anxiety and build confidence in a client with obsessive-compulsive disorder?
The nurse is assessing a client who spends several hours arranging and rearranging items around the house. What does
the nurse anticipate is the cause of this compulsive behavior?
A client who firmly believes that everyone who sees the client fixates on the size of the client's ears
Upon assessment, a client with a history of obsessive-compulsive disorder is terrified of losing control and has weight
overvaluation. For what comorbidity should the nurse assess in the client?
eating disorder
The psychiatric mental health is reviewing the health record of a client who will soon be admitted. The client's health
history includes a diagnosis of body dysmorphic disorder. The nurse should anticipate that this client:
What interventions does the nurse use to promote therapeutic communication with the client diagnosed with obsessive-
compulsive disorder (OCD)?
The nurse is assessing a client who performs ritualistic counting of objects in the client's surroundings. What does the
nurse tell the client about obsessive-compulsive disorder and its treatment? Select all that apply.
Talk openly with the nurse about obsessions, compulsions, and anxiety.
o not skip medication; it is an important part of the treatment.
Learn and practice deep breathing and guided imagery.
Parents visit the clinic with their teenager to discuss the teen’s skin picking. Many bleeding wounds and various stages of
scabs located up and down both of the teenager’s arms. The parents are very upset about this behavior and want it to
stop. Which would the health care provider document?
Excoriation disorder
The nurse is educating the client’s family about compulsive behavior. The nurse is correct when making which statement?
The mental health nurse explains that the difference between an obsession and a compulsion can correctly be identified
as what?
Which statement made by the nurse to the family of a client diagnosed with obsessive-compulsive disorder (OCD)
demonstrates the best general understanding of the chronic nature of the disorder and its management?
"It's important to know that the symptoms will intensify during periods of stress."
Explanation:
A client performs ritualistic washing of the hands and dishes, along with rearranging the table before settling down to a
meal. What intervention does the nurse implement to help this client complete this daily routine? Select all that apply.
Include the time taken for the ritual in the day’s timetable.
Come to an agreement with the client on a time to stop the ritual.
Encourage a gradual decrease in the time allotted for the ritual.
What kinds of thoughts does the nurse identify in a client with obsessive-compulsive disorder (OCD)? Select all that apply.
Unwanted
Intrusive
Impulsive
A client checks and rechecks the lock on the door five times before leaving home. What statement by the client indicates
that this behavior is a result of obsessive-compulsive disorder (OCD)?
The nurse is caring for clients with obsessive-compulsive disorder (OCD). Which progressive and debilitating disorder
is most commonly seen with a late onset?
Hoarding
A client spends hours stacking and unstacking towels. The client is repeatedly checking to make sure that the towels are
in order of color. What term is used to identify this behavior?
Compulsion
The psychiatric mental health nurse has received a referral from a community health nurse regarding a client who appears
to have hoarding disorder. When planning this client's care, the nurse should prioritize what consideration?
“I was diagnosed with substance use disorder last year and I still struggle with it.”
A client diagnosed with obsessive-compulsive disorder (OCD) is prescribed a noninvasive procedure that uses magnetic
fields to simulate brain cells. Which treatment will the nurse anticipate ordered for the client?
Excoriation disorder
A nurse is planning care for a client who has been diagnosed with trichotillomania. Which outcome should the nurse
include in the client's plan of care?
Client will demonstrate healthy coping strategies for dealing with stressors
The nurse is assessing a client who spends several hours arranging and rearranging items around the house. What does
the nurse anticipate is the cause of this compulsive behavior?
Excoriation disorder
The nurse is admitting a client with obsessive-compulsive disorder whose compulsion is washing hands. What should the
nurse explain to the client?
"Applying lotion will help keep your skin from breaking down."