Author Question: A female client with obsessive-compulsive disorder is undergoing treatment in an outpatient setting ... (Read 199 times)

scienceeasy · **on:** Jul 19, 2018

A female client with obsessive-compulsive disorder is undergoing treatment in an outpatient setting and is attending group therapy sessions. She is working on controlling the compulsion of touching her head three times every time she talks.

To maintain the therapeutic relationship established with the client, by which action can the nurse show acceptance? a. Ignoring the compulsion during the group therapy session and talking with the client privately about the behavior
b. Asking the group to remind the client every time she touches her head to help her consciously stop the compulsion
c. Pointing out the compulsion to the group each time the client exhibits the behavior
d. Asking the client to stop talking during the group session until she has learned to control her compulsion

Question 2

A male client with schizophrenia has lost his job and home and has been living in a homeless shelter. He voluntarily admits himself into a mental health treatment facility.

The client's current living situation and lack of a job at this time likely will contribute to his having difficulty with which dimension of hope? a. Affective
b. Contextual
c. Temporal
d. Affiliative

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

Answer to Question 1

A
Ignoring the behavior in group therapy shows acceptance of the behavior because the nurse does not embarrass the client in front of the group. Talking with her privately shows compassion for the client. Asking the group to remind the client of the compulsion and pointing out the compulsion to the group could belittle the client. Asking the client to stop talking would defeat the purpose of the support of belonging to a therapeutic group.

Answer to Question 2

B
Although all the dimensions of hope listed in these options may be difficult for this client, the dimension that is representative of the living and job situation for this client is contextual, because this refers to inadequate physical, financial, and emotional resources.