Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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The nurse observes that a female client buttons and unbuttons her shirt and combs her hair a couple of times every morning. Which of the following statements by the nurse is the most therapeutic?
  1. “I know it is difficult, but try your best to lessen the number of times you button and unbutton your shirt.”
  2. “Don’t you get tired buttoning and unbuttoning your shirt repeatedly?”
  3. “I noticed that you are buttoning and unbuttoning your shirt a couple of times in the morning. It can be tiring.”
  4. “I noticed you have been dressing yourself repeatedly every morning. Why are you doing this?”
Explanation
Answer: C - The nurse should approach the client with obsessive-compulsive disorder kindly and empathically, to attain treatment goals and to promote a trusting relationship. The statement offers a general lead, as well. Option A is not appropriate, as controlling the client’s behavior could escalate the client’s level of anxiety, Options B and D are probing, which could cause embarrassment to the client.
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