A client with OCD tells the nurse, Thinking these thoughts and ...

[Ebrown]

A client with OCD tells the nurse, Thinking these thoughts and doing all my rituals is beyond being silly. I know others laugh behind my back. I sometimes think I can control things, but I al-ways find I can't.
 
  I don't know if I can continue to live this waybeing a burden on my family and being of no use to myself. The reply that shows the best understanding of the client's priority risk is:
  1. How are you sleeping?
  2. Are your rituals interfering with eating?
  3. Have you been thinking about suicide?
  4. What makes you think others are laughing behind your back?

Question 2

The physician tells the nurse, I'll probably begin medication therapy for my client with panic disorder, so be prepared to implement a medication teaching plan. For which medication group will the nurse plan teaching?
 
  1. Tricyclic antidepressants
  2. Monamine oxidase inhibitors
  3. Selective serotonin reuptake inhibitors
  4. Benzodiazepines

[Silverbeard98]

Answer to Question 1

ANS: 3
Clients with anxiety disorders should always be assessed for the presence of depression and sui-cidal ideation, the priority risk to safety. This client has admitted feeling powerless to control her symptoms, being a burden, and being useless, in addition to wondering if she can continue to live the way she has been. There is ample reason for asking about suicidal ideation. Options 1 and 2 do not address the priority risk. Option 4 is not a therapeutic inquiry.

Answer to Question 2

ANS: 3
SSRIs are the most widely prescribed medication to treat panic disorder. They are effective and have a low side-effect profile. 1. These medications are effective but have more side effects than SSRIs. 2. These medications are effective but require knowledge of and compliance with a spe-cial diet. 4. These medications are effective but produce alterations in sensorium and other side effects.

[Ebrown]

TYSM

[nanny]

Thanks for the timely response, appreciate it