A friend confides that he goes around his house 3-4 times to check that all lights are turned off before leaving for work in the morning. He asks the nurse Do you think I have an obsessive-compulsive disorder (OCD)?
To help identify criteria defining the disorder, the nurse should ask:
1. Have you ever considered purchasing an automatic timing device to turn out the lights at a designated time?
2. How much time do you spend doing this activity?
3. Do you do this on the weekends as well?
4. How long have you been doing this?
Question 2
A client who was held hostage during a recent war in the Middle East is diagnosed with posttraumatic stress disorder (PTSD). When developing a plan of care, the nurse should anticipate which nursing diagnosis as being appropriate for this client?
1. Disturbed body image related to trauma of imprisonment
2. Acute pain related to nerve damage secondary to torture
3. Self-care deficit related to refusal to bathe self
4. Anxiety related to flashbacks of torture
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