Author Question: An advanced practice nurse has identified a nursing diagnosis of impaired social interaction for a ... (Read 63 times)

rmenurse · **on:** Jul 19, 2018

An advanced practice nurse has identified a nursing diagnosis of impaired social interaction for a client with obsessive-compulsive disorder. An appropriate outcome for this problem would be that the client will:

1. Convince peers to join in the performance of the rituals
2. Speak of the baselessness of her obsessions in group
3. Avoid obsessing while interacting with the nurse
4. Describe increasing control over intrusive thoughts

Question 2

Which strategy should the nurse incorporate in the nursing care plan for a client with generalized anxiety disorder?

1. Tell the client to calm down when anxiety is apparent
2. Encourage the client to discuss painful childhood issues
3. Teach the importance of limiting caffeine, nicotine, and CNS stimulants
4. Inform the client that he will need to remain calm if he wishes to attend group therapy

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

Answer to Question 1

ANS: 4
It is desirable for the client to experience a sense of being able to control the obsessive thinking. 1. This would be inappropriate. 2. Clients with OCD often speak of their obsessions as being silly and senseless, so this outcome shows no progress. 3. This is too short-term to be of endur-ing value to the client.

Answer to Question 2

ANS: 3
CNS stimulants, including caffeine and nicotine, increase anxiety symptoms. Options 1 and 4 are nontherapeutic interventions. Option 2 is not a strategy to improve anxiety management.