Author Question: A nurse is providing discharge instructions to a client recently diagnosed with obsessive-compulsive ... (Read 92 times)

K@ · **on:** Jun 25, 2018

A nurse is providing discharge instructions to a client recently diagnosed with obsessive-compulsive disorder (OCD) and prescribed Fluvoxamine (Luvox). Which statement made by the client indicates to the nurse that the client understands the instructions?

A) I am glad the physician chose this medication because it does not have any side effects.
B) I should continue taking this medication and in 1-2 years I can stop taking it.
C) I should continue taking this medication and in 1-2 years my physician may taper me off gradually.
D) Even though I don't think this medication is for my OCD I will take it because the physician wants me to.

Question 2

A nurse is evaluating the plan of care for a client diagnosed with obsessive-compulsive disorder (OCD). Which client statement indicates a positive outcome for the plan of care?

A) Instead of washing my hands several times a day I use hand sanitizer several times a day.
B) I am still hand washing frequently, and even though it is less than before I am a failure.
C) I am still hand washing frequently but it is less often than before. I think I am improving.
D) I don't know why I can't wash my hands several times a day; I have nothing else to do anyway.

fffftttt · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

This statement indicates that the client understands instruction regarding this medication. A client should continue taking Fluvoxamine (Luvox) for 1-2 years, at which time a physician may begin gradually tapering, while observing the client for symptom exacerbation. Fluvoxamine (Luvox) does have side effects; however, it has fewer side effects than clomipramine and is recommended for the first medication trial. Fluvoxamine (Luvox) is approved by the U.S. Food and Drug Administration (FDA) for treatment of OCD.

Answer to Question 2

Answer: C

The client who acknowledges improvement when washing hands less frequently recognizes that continued obsessive-compulsive behaviors are not an indication of treatment failure and that reductions in behavior signify positive progress. The client who has substituted the ritualistic use of hand sanitizer for the ritualistic hand washing has not demonstrated adequate coping skills to control anxiety related to absence of ritualistic compulsive behaviors. The client who sees nothing wrong with washing hands several times a day does not recognize that the ritualistic hand washing is a problem.