A 22-year-old man who is diagnosed with obsessive-compulsive disorder (OCD) that includes a compulsion to check all faucets to make sure they do not drip is hospitalized when he is no longer able to function at home or work due to his behavior
In the psychiatric unit, his actions consume a major part of his waking hours, and often he misses meals and other scheduled activities. Identify the intervention by the nurse that is most likely to precipitate a panic attack in this client.
a. Asking the client about his repressed feelings after he completes his ritual
b. Requiring the client to participate in scheduled meal times even if his rituals are not complete
c. Pointing out to the client that his actions are meaningless
d. Using thought stopping and aversion therapy to block the ritualistic actions
B
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The nurse is reinforcing teaching provided to a patient to learn how to get out of bed independently at home after surgery. What should the nurse emphasize in this teaching? (Select all that apply.)
a. Hold breath while sitting. b. Place the hands flat against the bed. c. Turn onto the side without a pillow between the knees. d. Sit for a few minutes to avoid dizziness and falling. e. Push up while swinging the legs into a sitting position.
In her work with pregnant women of various cultures, a nurse practitioner has observed various practices that seemed strange or unusual. She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common
Which statement best describes that purpose? a. To promote family unity b. To ward off the "evil eye" c. To appease the gods of fertility d. To protect the mother and fetus during pregnancy
Which of the following describes why hypertonic contractions tend to become very painful?
A) More than one contraction may begin at the same time, as receptor points in the myometrium act independently of each other. B) The myometrium becomes sensitive from the lack of relaxation and anoxia of uterine cells. C) The number of uterine contractions is very low or infrequent. D) There is an increase in the length of labor because so many contractions are needed to achieve cervical dilation.
Which of the following would be an effective intervention for transforming the American mental health system?
A) Assessing all homeless people for mental illness. B) Conducting education campaigns. C) Decreasing the focus on research and focusing on care. D) Decreasing school mental health programs.