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    Hesi lpn exit proctored examQuestion 147
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    Hesi lpn exit proctored exam

    During morning rounds, a client who is admitted with obsessive-compulsive disorder is in the dayroom repeatedly washing the top of the same table. Which intervention should the practical nurse (PN) implement when approaching the client?

    Explanation & Rationale

    A. Encourage the client to be calm and relax for a little while: Simply encouraging relaxation does not address the underlying anxiety driving the compulsive behavior. Clients with OCD require structured support that allows gradual redirection rather than just verbal reassurance B. Assist the client to identify stimuli that precipitates the activity: Identifying triggers is an important part of long-term therapy but is not appropriate during an active compulsive episode. The client’s anxiety level is usually too high to engage in self-reflection/ discussion. C. Provide time for the behavior then guide the client to other activities: Allowing the client limited time to complete the ritual helps reduce immediate anxiety while maintaining trust and rapport. Afterward, the nurse can gently redirect the client to other activities, promoting gradual control over compulsions without escalating distress. D. Assist the client to a chair after taking away the cleaning materials: Removing the cleaning materials abruptly can heighten anxiety and cause agitation. For clients with OCD, a sudden interruption of ritualistic behavior may lead to emotional distress or resistance to further care

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