For the client whose nursing diagnosis is powerlessness related ...

[danielfitts88]

For the client whose nursing diagnosis is powerlessness related to an inability to control compulsive
  cleaning, the nurse must understand that the client uses the cleaning to
 
  a. temporarily reduce anxiety.
  b. gain a feeling of superiority.
  c. receive praise from friends and family.
  d. ensure the health of household members.

Question 2

Which statement made by a client who has agoraphobia and does not leave her home identifies the
  thinking typical of a client with this disorder?
 
  a. I know I'll get over not wanting to leave home soon; it just takes time..
  b. When I have a good incentive to go out, I'll be able to do it..
  c. My husband and kids tell me they like it now that I stay home..
  d. Being afraid to go out seems ridiculous, but I can't go out the door..

[underwood14]

Answer to Question 1

ANS: A
The primary gain achieved from the client's use of these rituals is anxiety relief. Unfortunately, the
anxiety relief is short lived and the client must frequently repeat the ritual. The other options are not
related to the dynamics of compulsive behavior.

Answer to Question 2

ANS: D
The individual who is agoraphobic generally acknowledges that the behavior is not constructive and
that he or she does not really like it. The symptom is ego dystonic. However, the client will state he
or she is unable to change the behavior. Options A and B: Agoraphobics are not optimistic about
change. Option C: Most families are dissatisfied with the behavior.