Author Question: A newly admitted client, diagnosed with obsessive-compulsive disorder (OCD), washes his hands ... (Read 58 times)

Mollykgkg · **on:** Jul 19, 2018

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

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

Question 2

Which combination of diagnoses and appropriate pharmacological treatments are correctly matched?

1. SSD: predominantly pain; treated with venlafaxine (Effexor)
2. IAD; treated with cefadroxil (Duricef)
3. Conversion disorder; treated with cyclobenzaprine (Flexeril)
4. Depersonalization-derealization disorder; treated with mometasone (Elocom)

pallen55 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: 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.

Answer to Question 2

1
Rationale: The nurse should anticipate that the diagnosis of SSD: predominantly pain can be effectively treated with venlafaxine. Antidepressants are often used with somatic symptom disorder when the predominant symptom is pain. They have been shown to be effective in relieving pain, independent of influences on mood.