A patient with obsessive-compulsive disorder (OCD) performs hand washing repeatedly. Which nursing intervention is most appropriate?

Correct Answer: C

Rationale: The most appropriate nursing intervention for a patient with OCD who performs hand washing repeatedly is to allow the patient to wash hands at specified times (Choice C). This approach promotes a balance between addressing the patient's need for cleanliness and preventing excessive hand washing. By allowing the patient to wash hands at specific times, the nurse can help establish a routine that provides a sense of control for the patient while also setting boundaries to prevent excessive behavior. Restricting the patient from washing hands (Choice A) can lead to increased anxiety and resistance. Setting strict limits on hand washing (Choice B) may also trigger anxiety and escalate the behavior. Ignoring the patient's behavior (Choice D) does not address the underlying issue and can lead to worsening symptoms. Ultimately, Choice C supports a therapeutic approach that acknowledges the patient's needs while promoting healthier coping strategies.

Correct Answer: B

Rationale: The correct answer is B: Monitoring the patient's weight weekly. This intervention is essential in the care plan for a patient with anorexia nervosa as it helps track their progress, assess nutritional status, and identify any concerning weight fluctuations. Regular weight monitoring allows healthcare providers to make timely adjustments to the treatment plan. Explanation of why the other choices are incorrect: A: Allowing the patient to eat alone to reduce stress - This choice is incorrect as isolation during meals can exacerbate the patient's eating disorder behaviors and hinder their recovery. C: Encouraging the patient to exercise daily - Exercise may not be appropriate for a patient with anorexia nervosa due to the risk of excessive physical activity exacerbating their condition. D: Providing the patient with a high-calorie diet - While increasing calorie intake may be necessary for weight restoration, it should be done under close supervision by healthcare providers and tailored to the individual's needs, making this choice incorrect.

Correct Answer: C

Rationale: The correct answer is C: Buspirone. Buspirone is frequently prescribed for patients with Generalized Anxiety Disorder (GAD) as it is a non-addictive anxiolytic medication that is effective in managing chronic anxiety symptoms without the risk of dependence or tolerance. It works by targeting serotonin receptors in the brain to reduce anxiety levels. A: Fluoxetine and B: Sertraline are selective serotonin reuptake inhibitors (SSRIs) commonly used for depression and some types of anxiety disorders, but they are not typically first-line treatments for GAD. D: Diazepam is a benzodiazepine that is fast-acting but carries a high risk of dependence and tolerance, making it less suitable for long-term management of GAD.

Correct Answer: A

Rationale: The correct answer is A because clozapine can suppress the immune system, increasing the risk of infections. Reporting signs of infection promptly can help prevent serious complications. Choice B is incorrect because stopping clozapine abruptly can lead to withdrawal symptoms or a relapse of symptoms. Choice C is incorrect because clozapine should be taken with food to reduce gastrointestinal side effects. Choice D is incorrect because alcohol can interact with clozapine, leading to increased sedation and potentially dangerous side effects.

Correct Answer: C

Rationale: The correct initial intervention for a patient with PTSD experiencing flashbacks is providing relaxation techniques (Choice C). This is because relaxation techniques can help the patient cope with the distressing symptoms and manage their anxiety levels during flashbacks. Encouraging the patient to avoid triggers (Choice A) may provide temporary relief but does not address the root cause of the flashbacks. Encouraging the patient to talk about their feelings (Choice B) may be beneficial in the long run but may not be the best initial intervention during a flashback. Advising the patient to avoid social situations (Choice D) can lead to isolation and may not address the immediate distress caused by the flashbacks.