Author Question: A nurse is caring for a newly admitted client with obsessivecompulsive disorder (OCD) who performs a ... (Read 65 times)

nautica902 · **on:** Jul 19, 2018

A nurse is caring for a newly admitted client with obsessivecompulsive disorder (OCD) who performs a 15-minute ritual with his dietary tray before eating. Which nursing actions are most appropriate for this client? Select all that apply.

A) Allowing the client sufficient time to perform ritual
B) Requiring the client to eat in his room
C) Arranging the tray for the client
D) Supporting the client's efforts to understand the meaning of this behavior
E) Removing the tray when the client performs the ritual
F) Giving positive reinforcement for nonritualistic behaviors

Question 2

What is the highest-priority safety determination of the psychiatric nursing assessment?

a. past medical history
b. potential for suicide or violence
c. level of mental functioning
d. developmental history

hanadaa · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A, D, F

Answer to Question 2

B
The highest priority assessment of safety is to determine the client's potential for suicide or violence. While information regarding past medical history, level of mental functioning, and developmental history may be obtained, they are indicators of an immediate safety issue.