Author Question: A 19-year-old-client displays obsessive-compulsive behaviors when admitted to the unit. He washes ... (Read 38 times)

s.tung · **on:** Jul 19, 2018

A 19-year-old-client displays obsessive-compulsive behaviors when admitted to the unit. He washes the surfaces in his room over and over. The nurse, needing to orient the client to the unit, should do which of the following?

1. Firmly take him by the arm to show him around.
2. State, The room is very clean, so you can stop now.
3. Ignore the orientation for 4 or 5 days.
4. State, I can see you are uncomfortable, but let's take a moment to look at the
unit.

Question 2

The head nurse in the ED has received word that a major fire in a high-rise office tower will re-sult in many injured persons being brought to the hospital within the next few minutes.

The head nurse tells the staff, You will need to assess for acute stress reactions as well as treat-ing physical problems. Staff should be alert for clients who demonstrate:
1. Exaggerated mood swings within short periods of time
2. Perceptual distortions including auditory hallucinations
3. Dissociative symptoms such as numbing, derealization, detachment
4. Multiple exaggerated somatic complaints without organic basis

Carliemb17 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 4
Option 4 is correct because it acknowledges the client's feelings and directs him to the task at hand. Option 1 does not acknowledge his feelings. Cleanliness is not the issue, so option 2 is in-correct. Option 3 is incorrect because ignoring the orientation for 4 or 5 days is not helpful.

Answer to Question 2

ANS: 3
Acute stress reactions are characterized by indications of dissociation, such as those listed in op-tion 3, and may develop within a short time after the incident. Options 1 and 2 suggest severe mental disorders, and option 4 suggests somatization disorder.