What is the most important action for the nurse to take when caring for a patient with obsessive-compulsive disorder (OCD) who is performing a ritual?

1. Don't interrupt the ritual.
2. Teach stress reduction strategies.
3. Interrupt the ritual.
4. Teach patient about the disorder.


Answer: 1
Explanation: The nurse should not interrupt the ritual because that may cause the patient to start from the beginning. Patient teaching is not the priority for a patient who is performing a ritual.

Nursing

You might also like to view...

For which area on the body would the nurse identify that the use of epinephrine with a local injectable drug would be contraindicated? Select all that apply

A) Use on a toe B) Use on the scalp C) Use on the face D) Use on the abdomen E) Use on a finger

Nursing

A patient with diabetic retinopathy is admitted to the intensive care unit. Which nursing interventions are indicated?

1. Keep the room light dimmed. 2. Provide a braille board for communication. 3. Offer frequent reorientation to the environment. 4. Limit visitors to immediate family only.

Nursing

Which clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vaso-occlusive crisis?

a. Circulatory collapse b. Cardiomegaly, systolic murmurs c. Hepatomegaly, intrahepatic cholestasis d. Painful swelling of hands and feet; painful joints

Nursing

A patient with Alzheimer's disease has been prescribed memantine (Namenda)

The patient has developed the symptoms of vomiting, drooling, heart rate of 56 beats/minute, and muscle weakness. What is your best action? a. Contact the prescriber and ask for an order for an as-needed antiemetic drug. b. Place the patient on a heart monitor and check the heart rate every 2 hours. c. Hold the drug dose and contact the prescriber immediately. d. Give the drug exactly as ordered.

Nursing