ATI LPN
Psychiatric Mental Health Nursing 8th Edition
Chapter 15 Questions
Question 1 of 5
The nurse is caring for her first client with obsessive/compulsive disorder. During the treatment team meeting, the nurse shares her frustration as to the client's inability to stop washing his hands. The nurse manager offers which one of the following explanations?
Correct Answer: D
Rationale: The client's compulsive hand washing is driven by anxiety relief, not independence, unawareness, or denial of abnormality, as rituals are an attempt to manage overwhelming anxiety.
Question 2 of 5
Which of the following is the desired outcome for a client with OCD?
Correct Answer: C
Rationale: The desired outcome is that OCD symptoms no longer disrupt responsibilities, allowing manageable anxiety, unlike expecting complete symptom elimination or responsibility removal.
Question 3 of 5
Before eating a meal, a client with obsessive/compulsive disorder must wash her hands for 14 minutes, comb her hair for 114 strokes, and switch the light off and on 44 times. When evaluating the progress of the client, what is the most important treatment objective for this client?
Correct Answer: B
Rationale: Gradually reducing ritual time is key to restoring functional daily routines, unlike allowing full rituals, focusing solely on medication, or abrupt ritual elimination.
Question 4 of 5
A client with OCD is admitted to the psychiatric unit. Which of the following would be most appropriate for the nurse to include in the client's care plan?
Correct Answer: A
Rationale: Allowing time for rituals reduces anxiety and supports the client's sense of security, unlike immediate cessation or distraction, which may increase distress.
Question 5 of 5
Which of the following statements about the typical history of illness that would be assessed in a client who has OCD is consistent with OCD?
Correct Answer: B
Rationale: OCD treatment is typically outpatient, as hospitalization is rare unless rituals severely disrupt daily life, which includes work, ADLs, and leisure; most delay seeking treatment.