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Yuba College *

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Course

1211

Subject

Nursing

Date

Nov 24, 2024

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1

Uploaded by dhoot530

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Later in the day, the nurse meets with Britney to discuss her rituals and how it is affecting her group attendance. Britney states that she has to wash her hands 10 times whenever she touches something that she considers contaminated. The nurse agrees to give Britney 30 minutes notice before groups to allow enough time for Britney to complete her rituals. Britney states that she knows it sounds ridiculous, but unless she completes the ritual she feels like she is covered in filth that will give her a deadly disease. Question 13 of 28 Which nursing response is therapeutic regarding Britney’s fear about being covered in filth that will give her a deadly disease? () “Itis ridiculous to think that, so it is good you are recognizing that Britney. It shows you are making progress.” Agreeing with the term ridiculous should be avoided, as it is a derogatory term. Britney already knows that the thought is irrational. Clients with OCD are not delusional, so stating that she is making progress by recognizing it as ridiculous is not an accurate statement. “Why do you need to wash your hands 10 times? Isn’t once enough to prevent disease?” Why questions that ask clients to rationalize behavior should be avoided. Asking a client if washing once isn’t enough to prevent disease, also demonstrates a lack of understanding of OCD on the part of the nurse and can be frustrating for a client. “You should read about how deadly diseases are transmitted so you don’t have these fears. | can provide you readings that will help you understand this better.” A client with OCD is not delusional and recognizes that the thoughts are irrational. Sharing information with a client, who likely is very aware of how diseases are transmitted, is not being responsive to client concerns and is also offering advice, which should not be done. “That must be very frightening for you.” Restating and acknowledging how difficult it must be for a client to have these feelings, will promote trust and open communication. Sharing these kinds of thoughts is often embarrassing for clients, and being able to discuss them without judgment is beneficial.
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