A client with obsessive-compulsive disorder, who was admitted early yesterday morning, must make his bed 22 times before he can have breakfast. Because of his behavior, the client missed having breakfast yesterday with the other clients. Which of the following actions should the nurse institute to help the client be on time for breakfast?
1. Tell the client to make his bed one time only.
2. Wake the client an hour earlier to perform his ritual.
3. Insist that the client stop his activity when it's time for breakfast.
4. Advise the client to have breakfast first before making his bed.
317:
The nurse notices that a client diagnosed with major depression and social phobia must get up and move to another area when someone sits next to her. Which of the following actions by the nurse is appropriate?
1. Ignore the client's behavior.
2. Question the client about her avoidance of others.
3. Convey awareness of the client's anxiety about being around others.
4. Tell the other clients to follow the client when she moves away.
318:
The nurse is developing a long-term care plan for an outpatient client diagnosed with dissociative identity disorder. Which of the following should be included in this plan? Select all that apply.
1. Learning how to manage feelings, especially anger and rage.
2. Joining several outpatient support groups that are process-oriented.
3. Identifying resources to call when there is a risk of suicide or self-mutilation.
4. Selecting a method for alter personalities to communicate with each other, such as journaling.
5. Trying different medicines to find one that eliminates the dissociative process.
6. Helping each alter accept the goal of sharing and integrating all their memories.