Author Question: A newly admitted client diagnosed with obsessive-compulsive disorder (OCD) washes hands continually. ... (Read 51 times)

justinmsk · **on:** Jul 19, 2018

A newly admitted client diagnosed with obsessive-compulsive disorder (OCD) washes hands continually. This behavior prevents unit activity attendance. Which nursing statement best addresses this situation?

A. Everyone diagnosed with OCD needs to control their ritualistic behaviors.
B. It is important for you to discontinue these ritualistic behaviors.
C. Why are you asking for help if you won't participate in unit therapy?
D. Let's figure out a way for you to attend unit activities and still wash your hands.

Question 2

Which example of a therapeutic communication technique would be effective in the planning phase of the nursing process?

A. We've discussed past coping skills. Let's see if these coping skills can be effective now.
B. Please tell me in your own words what brought you to the hospital.
C. This new approach worked for you. Keep it up.
D. I notice that you seem to be responding to voices that I do not hear.

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

Answer to Question 1

ANS: D
The most appropriate statement by the nurse is, Let's figure out a way for you to attend unit activities and still wash your hands. This statement reflects the therapeutic communication technique of formulating a plan of action. The nurse attempts to work with the client to develop a plan without damaging the therapeutic relationship or increasing the client's anxiety.

Answer to Question 2

ANS: A
This is an example of the therapeutic communication technique of formulating a plan of action. By the use of this technique the nurse can help the client plan in advance to deal with a stressful situation, which may prevent anger and/or anxiety from escalating to an unmanageable level.