Author Question: A client is prescribed fluoxetine (Prozac) for treatment of obsessive-compulsive disorder. During ... (Read 163 times)

cookcarl

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A client is prescribed fluoxetine (Prozac) for treatment of obsessive-compulsive disorder. During the latest office visit, the client washes the hands while counting to 10 and repeats the process every 5 minutes.
 
  Which is the priority assessment for the nurse to complete for this client?
  A) The amount of medication the client is taking
  B) Side effects from the medication the client is experiencing
  C) Whether the client is taking the medication as prescribed
  D) Foods that may be interacting with the client's medication

Question 2

The nurse is providing care to a client who is diagnosed with obsessive-compulsive disorder. Which nursing intervention is most appropriate when providing care to this client?
 
  A) Confront the client and ask what purpose the behavior serves.
  B) Tell the client that the behavior is unacceptable and must end.
  C) Interrupt the ritualistic behavior when observed.
  D) Discuss the need to incorporate the behavior with other hospital routines.



Bigfoot1984

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Answer to Question 1

Answer: C

Fluoxetine (Prozac) is one medication prescribed for the treatment of obsessive-compulsive disorder. Because the client is demonstrating continuing signs of the disorder, the nurse should assess if the client is taking the medication as prescribed. The client would have other signs and symptoms if taking too much medication. There are no specific foods to avoid when taking this medication. Continuing symptoms of obsessive-compulsive disorder is not a side effect of the medication.

Answer to Question 2

Answer: D

The client with obsessive-compulsive behavior will not be able to perform the behavior at will, so the nurse needs to discuss the need to incorporate the behavior with other hospital routines. The nurse should not interrupt the behavior, as this will cause the client to start over from the beginning. The nurse should also not confront the client and ask what purpose it serves, as the client might be embarrassed about the behavior. Telling the client that the behavior is unacceptable and must end also will not help the client with the behavior.



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