While planning care for a child who has excoriation disorder, ...

[CBme]

While planning care for a child who has excoriation disorder, which of the following would be the priority NANDA?
 
  A) Hopelessness
  B) Dysfunctional family processes
  C) Ineffective role performance
  D) Impaired skin integrity

Question 2

While administering an admission assessment for a client with obsessive-compulsive disorder (OCD), which of the following is the best technique for the nurse to use?
 
  A) Simple questions with yes/no responses
  B) Short questions that require one or two sentences to answer
  C) Stopping the patient and getting them to focus on the topic when they start to ramble
  D) Calm, nonauthoritarian approach with patience and active listening

[Kjones0604]

Answer to Question 1

Ans: D
The nursing diagnoses applied to patients with obsessive-compulsive disorder (OCD) can run the gamut from the primary diagnosis of Anxiety to other physiologic disturbances of the compulsion, such as Impaired Skin Integrity, which may result from continuous hand washing or picking at the skin.

Answer to Question 2

Ans: D
Establishing a therapeutic relationship with a client with OCD requires patience and active listening. The individual may go to great lengths to explain some minute aspect of her or his life. It is important not to interrupt or rush these explanations. Being unable to finish thoughts increases the client's anxiety and frustration. The nurse should interact with the individual in a calm, nonauthoritarian fashion without exhibiting any disapproval of the client or the client's behaviors while demonstrating empathy about the distress that the disorder has caused. The other responses would only heighten the client's anxiety.