OCD Case Study ; Questions & Answers Already Passed
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Course
Obsessive-Compulsive Disorder
Institution
Obsessive-Compulsive Disorder
OCD Case Study ; Questions & Answers
Already Passed
A young female adult client is accompanied to a mental health assessment
center for evaluation by her parents. The client is wearing leggings and an
oversized t-shirt. Hair is still damp from a shower with which the mother said
she had to ...
OCD Case Study ; Questions & Answers
Already Passed
A young female adult client is accompanied to a mental health assessment
center for evaluation by her parents. The client is wearing leggings and an
oversized t-shirt. Hair is still damp from a shower with which the mother said
she had to assist. The nurse notes that the client's hands are red and chapped.
The mother states that the client washes her hands repeatedly. The client is
crying as she leans on her mother's shoulder. The client is pressured as she
responds to the psychiatrist's questions and eye contact is poor. The client
denies any history of substance abuse, and the parents corroborate this stating
that the client rarely leaves the house. When asked what her biggest concern is,
the client responds that she just can't take it anymore and her mind won't stop
the torture. The psychiatrist recommends hospitalization and the client agrees
to the admission. Correct Answer-
The psychiatrist completes an assessment and admits the client to the inpatient
adult unit. After the admitting procedures are complete, the client's parents
leave for home and the client immediately becomes increasingly agitated, and
begins crying and hyperventilating. The nurse informs the client that the
psychiatrist is writing prescriptions for medication to help alleviate the anxiety
and will check on the status of the prescription, and be back with the
medication as soon as it is available.
Which nursing action is indicated next?
A. Check the client's EMR to see if the medication has been prescribed
B.Wait at least 15 minutes before giving any medication because the client's
anxiety may be a short-lived response to her parents leaving
C. Tell the client to lie down and try to relax until the nurse returns with the
medication
, OCD Case Study ; Questions & Answers
Already Passed
D. Ask another nurse to check on the status of the medications prescribed and
return Correct Answer-D. Ask another nurse to check on the status of the
medications prescribed and return to the client's room and stay with her
Rationale: Clients experiencing panic should not be left along. Safety concerns
exist due to the client's inability to think clearly. The nurse is more familiar to
this client from the assessment intake, and should be the one to stay with her
rather than asking another staff member to do so.
The medication becomes available and the nurse partially opens the packet
containing the oral lorazepam 2 mg. The nurse empties the medication into a
paper cup then hands the cup to the client with a glass of water. The client
refuses to take the cup, and back away from the nurse stating, "I heard you
coughing earlier. I don't want to take it from you."
Which is an indicated response from the nurse in this situation? Correct
Answer-Empty the pill into the client's hand without touching the pill.
Rationale: The client has high anxiety, so it is important that she receives
medication to help her calm down. The nurse assuring the client that she will
use caution to not touch the pill may help the client take it and demonstrates an
understanding the client's OCD.
The nurse completes an initial nursing intake assessment. When asked what
brought her to the hospital, the client replies, "I can't stop worrying about
everything. It's so bad I don't even want to get out of bed anymore" and she
begins to cry. The client admits to having OCD in the past and she had been
taking fluvoxamine for 4 years. She states she weaned herself off the medication
, OCD Case Study ; Questions & Answers
Already Passed
2 months ago because she was starting college and the medication made her
tired. The client states: "I couldn't handle college though and now I feel like a big
failure. I'm just taking up space. I'm no good to anyone."
Which nursing concern should take priority? Correct Answer-Potential risk
for suicide.
Rationale: Safety should always be the priority and a client is making statements
that may indicate risk for self-directed harm.
The nurse recognizes a need to educate the client on the dangers of stopping her
medication without the supervision of her psychiatrist. The nurse makes a
decision to wait until a later time to provide this education.
Which rationale is the basis for the nurse's decision? Correct Answer-The
client is currently experiencing severe to panic levels of anxiety, so education
will be ineffective.
Rationale: Clients who are experiencing severe or panic levels of anxiety will
have difficulty concentrating and processing information. Education should be
delayed until such a time that a client can focus.
The client takes the lorazepam from the nurse and then asks how the
medication will help and how soon it will work.
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