Practice Quiz

Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

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A client with obsessive-compulsive disorder is admitted for treatment of skin breakdown. The nurse asked the client to refrain from washing his hands too much. Upon hearing this, the client became agitated. The client’s nursing care should be based upon the understanding that:
  1. OCD behavioral patterns decrease anxiety.
  2. Behavioral patterns increase during stressful times.
  3. OCD behavioral patterns result in undoing and repression.
  4. Behavioral patterns can be interrupted consciously if the client tries.
Explanation
Answer: B - Obsessive thought and compulsive behavior occur together. They increase during stressful times. The nurse should avoid interrupting the compulsive behavior because this worsens the anxiety. OCD behavior arises from repression of anxiety, displacement of obsessive thoughts, and undoing of intrusive thoughts.
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