AP PSYCHOLOGY

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ABNORMAL BEHAVIOR

ANXIETY DISORDERS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is caring for a client who vigorously follows several rituals daily, including frequent handwashing. The client’s hands are now reddened and sensitive to touch. Which of the following nursing actions would be least helpful initially?
A
Provide special care
B
Give positive reinforcement for nonritualistic behavior
C
Limit the amount of time the client may use to wash hands
D
Protect the client from ridicule by other clients on the unit.
Explanation: 

Detailed explanation-1: -Chronic features of repetitive hand washing include lichenification, pigmentary changes, hyperkeratosis, and fissuring. The patient may report itch, dryness, ooze, and pain of the hands. Fissuring can result in secondary bacterial skin infections.

Detailed explanation-2: -Wash hands with soap and water for at least 20 seconds. Use the cleanest water possible, for example from an improved source. *If soap and water are not available use an alcohol-based hand rub that contains at least 60% alcohol.

Detailed explanation-3: -Unless hands are visibly soiled, an alcohol-based hand rub is preferred over soap and water in most clinical situations due to evidence of better compliance compared to soap and water. Hand rubs are generally less irritating to hands and, in the absence of a sink, are an effective method of cleaning hands.

Detailed explanation-4: -Hand washing with soap and water: Rub hands vigorously for at least 15 seconds, covering all surfaces of hands and fingers. Rinse hands with water and dry thoroughly with a paper towel. Use a paper towel to turn off the water faucet.

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