A client is newly diagnosed with obsessive-compulsive disorder and spends 45 minutes folding clothes and rearranging them in drawers. Which nursing intervention would best address this client's problem?
A. Distract the client with other activities whenever ritual behaviors begin.
B. Report the behavior to the psychiatrist to obtain an order for medication dosage increase.
C. Lock the room to discourage ritualistic behavior.
D. Discuss the anxiety-provoking triggers that precipitate the ritualistic behaviors.
D
The nurse should discuss with the client the anxiety-provoking triggers that precipitate the ritualistic behavior. If the client is going to be able to avoid the anxiety, he or she must first learn to recognize precipitating factors. Attempting to distract the client, seeking medication increase, and locking the client's room are not appropriate interventions because they do not help the client recognize anxiety triggers.
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How does quantitative research contribute to evidence-based practice? (Select all that apply.)
a. It provides facts that nurses can add to their knowledge base. This makes practice more objective and quantifiable. b. It provides scientific support for policies already in place. More evidence makes an existent policy more defensible. c. It provides evidence opposing policies already in place. Evidence in opposition to policies may result in new policies. d. It allows the nurse to understand the personal experience of illness and the meaning the client attaches to it. This engenders compassion. e. It contributes evidence that will make nursing practice almost completely evidence-based, eliminating different styles of nursing practice.
An older patient is started on amitriptyline to control depression. The nurse knows to monitor for (Select all that apply)
a. impaired psychomotor function. b. irregular heart rate. c. polyuria. d. pulmonary edema.
The nurse is assessing a drug-dependent newborn. Which symptom would require further assessment by the nurse?
1. Occasional watery stools 2. Spitting up after feeding 3. Unrelieved irritability 4. Positive Babinski's reflex
The factor that is more predictive of abusive behavior is
1. A perceived or actual crisis 2. Social isolation 3. Previous exposure to violence 4. Marital strain