A client with severe obsessive-compulsive symptoms will be admitted to the hospital for a short stay

for assessment and initiation of therapy with a selective serotonin reuptake inhibitor.

The
assessments of critical importance include (more than one answer may be correct)
A. anxiety level.
B. sleep pattern.
C. elimination.
D. nutritional status.
E. hygiene and grooming.
F. presence of delusions and hallucinations.


ANS:
A, B, C, D, E
Rationale: Options B through E are important because each may be adversely affected by the client's
excessive use of ritualistic behaviors. A baseline anxiety level must be established for later
comparison. When the drug therapy is initiated, the anxiety level may rise before the desired effect
of anxiety reduction is accomplished. Option F: The client is not expected to demonstrate either
delusions or hallucinations.

Nursing

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