Author Question: A client asks for a hospital bed near the door because of a fear of being trapped in a room and not ... (Read 95 times)

Pea0909berry · **on:** Jun 25, 2018

A client asks for a hospital bed near the door because of a fear of being trapped in a room and not being able to get out.

When planning care for this client, which does the nurse include as a possible cause for this client's fear?
A) Genetic predisposition
B) A traumatic event
C) Observing others
D) Informational transmission

Question 2

A client diagnosed with obsessive-compulsive disorder (OCD) is being admitted as an inpatient. The client is obsessed with thoughts of symmetry. Which compulsive behaviors does the nurse anticipate when performing the admission assessment?

Select all that apply.
A) The client repeatedly washes his hands.
B) The client repeatedly taps both wrists on the bedside table.
C) The client avoids shaking the nurse's hand
D) The client begins counting the floor tiles.
E) The client repeatedly cleans the top of the bedside table.

mceravolo · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

Factors that predispose an individual to develop phobias, such as the fear of not getting out of a room, include traumatic events. Genetic predisposition would mean that others in the client's family have the same fear. Informational transmission means the fear would be explained or demonstrated through the media. Observing others would mean that the client has seen others demonstrate the same fear of not being near the door.

Answer to Question 2

Answer: B, D

Repeatedly tapping both wrists on the bedside table and counting the floor tiles demonstrate common behaviors of a client whose obsession is symmetry. A client whose obsession is symmetry often demonstrates counting, ensuring orderliness of items, or fixation on maintaining symmetrical positioning of items, such as repeatedly tapping both wrists on the bedside table. On the other hand, a client whose obsession is cleaning typically demonstrates repetitive performance of decontamination practices, such as repetitive hand washing; avoidance of contamination, such as refusing to shaking hands; or repetitive environmental cleaning, such as repeatedly cleaning the top of the bedside table.