PSYC 5015 Chapter 20: Obsessive-Compulsive and Related Disorders: Nursing Care of Persons with Obsessions and Compulsions

Chapter 20: Obsessive-Compulsive and Related Disorders: Nursing Care of Persons with Obsessions and Compulsions The psychiatric mental health nurse has taught a client with obsessive-compulsive disorder (OCD) about the use of cue cards. This intervention will allow the client to:  review his or her daily goals.  understand the relationship between obsessions and compulsions.  counter obsessive thinking with positive messages.  review the negative consequences of compulsive rituals. The nurse provides care to a client who is newly diagnosed with hoarding disorder. Which treatments are appropriate for the nurse to include in this client’s plan of care? Select all that apply.  safety education  peer-led support group  cognitive behavioral therapy (CBT)  electroconvulsive therapy (ECT)  pharmacotherapy A client with obsessive-compulsive disorder has obsessions related to the threat of contamination and compulsions of handwashing. In order to protect the client's skin integrity, the nurse should:  provide soap that has moisturizers in it.  encourage the use of alcohol-based handrub.  establish a "no handwashing" contract.  provide the client with a supply of non-sterile gloves. The nurse observes a client with symptoms of onychophagia becoming anxious. The client stops the behavior and starts putting a puzzle together. Which action should the nurse take?  Provide genuine praise that the client used a coping strategy.  Tell the client that they are proud of them.  Discuss the observation in group therapy.  Document the observation as the defense mechanism of sublimation. 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 reestablish mutually supportive relationships with family members  Client will demonstrate healthy coping strategies for dealing with stressors  Client will consistently refrain from skin picking  Client will accurately describe the etiology and clinical course of trichotillomania A counselor is conducting a therapy session with a client who performs time-consuming compulsions. The client is exposed to a situation or object that induces anxiety in the client and the client is asked to refrain from performing the ritualized behavior. What therapy is the counselor utilizing with the client?  cognitive-behavioral therapy (CBT)  cognitive restructuring  Exposure and Response Prevention (ERP)  Acceptance and Commitment therapy (ACT) The nurse administers the first dose of fluvoxamine to a 25-year-old male client after reviewing the client's chart. Upon assessment an hour after administering the medication, the client is experiencing intense itching and a rash. What is the nurse’s priority intervention?  Apply an as-needed anti-itch cream to the client’s rash.  Ask the client about any allergies that they have or reactions to previous medications.  Contact the provider immediately and do not give another dose of the medication.  Assess the rash and document the findings in the client’s medical record. The nurse has been working with a client who has obsessive-compulsive disorder (OCD) and the nurse is meeting the client's mother and father for the first time. During this interaction, the nurse should:  screen the client's mother and father for signs and symptoms of OCD.  teach the client's parents about the biochemical and neuropathologic factors that cause OCD.  assess the parents' willingness to assist with behavioral techniques the client has been taught.  discuss the events in the client's childhood that may have caused OCD. The nurse is providing educat