Author Question: The home care nurse observes a client demonstrate compulsive cleaning behaviors, scrubbing areas ... (Read 32 times)

segrsyd · **on:** Jul 22, 2018

The home care nurse observes a client demonstrate compulsive cleaning behaviors, scrubbing areas throughout the house over and over, especially areas where the family gathers. Prior to planning care for this client the nurse should assess:

1. How frequently the client cleans the house.
2. The impact of symptoms on the family system.
3. Whether the client vomits during cleaning.
4. Whether the client is forgetful.

Question 2

Your client receives analgesics on an as-needed basis rather than on a schedule. Your client's pain is continuous, and the client's prescribed medication is inadequate to manage total pain needs.

The client requests medication frequently, asks for a specific medication by name, and demonstrates behaviors to persuade you that the client's pain is both real and severe. This client is most likely suffering from which of the following?
1. tolerance
2. psychological dependence
3. physical dependence
4. pseudoaddiction

jasonq · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. The impact of symptoms on the family system.

Rationale:
Obsessive-compulsive disorder impacts the family system, especially with impaired role function. How frequently the client cleans the house and whether vomiting occurs during cleaning may be important to assess, but they are not the most important. Forgetfulness is not a component of obsessive-compulsive disorder.

Answer to Question 2

ANS: 4