Author Question: The home care nurse observes a client scrubbing areas throughout the house over and over, especially ... (Read 58 times)

Kthamas · **on:** Jun 25, 2018

The home care nurse observes a client scrubbing areas throughout the house over and over, especially areas where the family gathers. Prior to planning care for this client, which must the nurse assess?

A) If the client is forgetful
B) If the client vomits during cleaning
C) How frequently the client cleans the house
D) The impact of symptoms on the family system

Question 2

The son of an older adult client with obsessive-compulsive disorder states to the nurse, I want to contact the fire department about the situation; the house is nothing but boxes and bags of saved items.

Which is the most appropriate nursing diagnosis for this situation?
A) Ineffective Coping
B) Deficient Knowledge
C) Risk for Caregiver Role Strain
D) Anxiety

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

Answer to Question 1

Answer: D

Obsessive-compulsive disorder impacts the family system, especially with impaired role function. How frequently the client cleans the house and whether vomiting occurs during cleaning may be important to assess, but they are not the most important. Forgetfulness is not a component of obsessive-compulsive disorder.

Answer to Question 2

Answer: C

The son is experiencing anxiety about the client's obsessive-compulsive behavior, which indicates a risk for caregiver role strain. There is not enough information to determine whether or not the client or son is experiencing ineffective coping, anxiety, or deficient knowledge.