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Obsessive-Compulsive Disorder Case Study Question 1 of 28 Which nursing concern should take priority? Lack of compliance with her medication for obsessive-compulsive disorder. While it is important to educate a client on the importance of medications in treatment of her illness, it is not the priority at this time. Maintaining safety of a client takes precedence. Potential risk for suicide. Safety should always be the priority and a client is making statements that may indicate risk for self-directed harm as evidenced by “I’m just taking up space” and “I’m no good to anyone." The nurse should follow up on these comments before focusing on other concerns. Inability to follow through with life goals. Helping a client identify realistic goals and coping skills to deal with stressful situations may be long terms goals, but is not the priority concern at this time. Maintaining safety of a client takes precedence. Ongoing worry that is affecting daily functioning. While the ongoing worry is likely affecting a client’s ability to function effectively and contributing to feelings of hopelessness, this is not the priority concern. Maintaining safety of a client takes precedence. Question 2 of 28 Which rationale is the basis for the nurse’s decision? Because of HIPAA concerns, Britney’s education should be provided in private without the presence of family members. This would not be the primary basis for the nurse’s decision to delay education. The nurse could ask permission to provide the education while Britney’s parents were present, so it would not need to be delayed. Also, providing general medication information is not violating a client’s privacy. Britney has already weaned herself off the medication without a problem, so education at this point is not warranted. While education is not a priority at this time, the rationale is incorrect. Education is still needed since Britney will likely be starting medication, and it is important that she not attempt to wean off medications without oversight. Withdrawal symptoms can be severe, and Britney’s symptoms may in part be related to stopping her medication. Britney is currently experiencing severe to panic levels of anxiety, so education will be ineffective. Clients who are experiencing severe or panic levels of anxiety will have difficulty concentrating and processing information. Education should be delayed until such a time that a client can focus. It is important to know what medications Britney will be prescribed prior to completing education.
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Regardless of what medications are prescribed, it will still be important to provide education to Britney on not stopping medications without the knowledge and oversight of the healthcare provider (HCP)who prescribed the medication.
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