A patient newly diagnosed with obsessive-compulsive disorder (OCD) needs assistance with setting goals. Which might be an appropriate goal for the patient to identify?
1. Increasing social contacts.
2. Stopping compulsive hand washing.
3. Identifying certain thoughts as OCD symptoms.
4. Stopping counting, tapping, or repeating certain words.
Answer: 3
Explanation: Supportive change may be considered as patients with chronic or serious illness make small improvements by helping promote realistic and achievable gains, such as learning to identify and label their symptoms. Significant behavioral changes such as increasing social contacts or stopping compulsive behaviors may be unrealistic at this early stage of treatment and may only increase frustration and pain.
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A nursing instructor asks a student "When resuscitating a newborn infant, what are some of the common reasons the chest may not be rising with each squeeze of the bag valve mask?" Which response by the student would indicate that further teaching
is needed? (Select all that apply.) a. Inadequate face mask seal b. Too much pressure being exerted c. Airway blocked because of secretions d. Infant uncooperative e. Not enough pressure being used to ventilate the infant f. Airway blocked because of improper head position
A woman, age 43 years, is 6 weeks pregnant. It is important that she be informed of which?
a. The need for a therapeutic abortion b. Increased risk for Down syndrome c. Increased risk for Turner syndrome d. The need for an immediate amniocentesis
Teaching a child with a chronic respiratory illness to forcefully exhale can be done by:
1. Pretending to blow candles out. 2. Blowing bubbles. 3. Pretending to blow out a flashlight. 4. All of the above are techniques for teaching a child to forcefully exhale.
The nurse is caring for a patient who recently had unprotected sex with a partner who has HIV. Which response by the nurse is best?
a. "You should have your blood drawn today to see if you were infected." b. "If you have the virus, you will have flu-like symptoms in 6 months." c. "Highly active antiretroviral therapy has been shown effective in slowing the disease process." d. "I will set you up with a support group to help you cope with dying within the next 10 years."