An effective intervention for a client diagnosed with Obsessive-Compulsive Disorder is ______________.
Answer(s): D
Obsessive-Compulsive Disorder is an anxiety disorder. Exercise releases emotional energy, limits time for the maladaptive behavior, and directs the client’s attention outward.Initially, nurses should not interfere with performance of the repetitive act, try reasoning the client out of the behavior, or ridicule the behavior.
A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning.The nurse should consult with the couple and recommend the husband help with therapy by ______________.
Answer(s): C
His wife is exhibiting obsessive-compulsive behavior. Because this is an anxiety disorder, it is desirable to maintain an environment that is calm and as stress free as possible. Attempting to stop or focusing on the behavior can increase the wife’s anxiety and therefore the repetitive behavior.
An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs.The nurse should ask the child ______________.
Answer(s): A
The nurse must be aware of cultural practices that resemble child abuse. These practices include coining, cupping, and fallen fontanella. Coining and cupping are thought to draw infections from the body.Coining involves rubbing a heated coin on the chest and torso and might cause bruising.Cupping uses heated glasses that can produce erythematous and ecchymotic rounded lesions or linear streaks on the body from the suction.Fallen fontanella involves turning a child upside down to correct a depressed fontanelle; it can cause vomiting, diarrhea, and dehydration in infants. Retinal hemorrhages can also occur, and sometimes Shaken-Baby Syndrome is erroneously diagnosed.
Incidences of child abuse apperar to be higher in the African-American community and might be explained by ______________.
Answer(s): B
Child abuse is higher in households with lower socioeconomic status and single parents. The increased incidence might be due to increased stress and fewer support systems.
Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears.This behavior is an example of ______________.
Crying is a regressive behavior. The ego returned to an earlier, comforting, and less-mature way of behaving in the face of disappointment.Conversion involves the transformation of anxiety into a physical symptom. Introjection involves intense unconscious identification with another person.Rationalization involves the unconscious process of developing acceptable explanations to justify unacceptable ideas, actions, or feelings.
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