Question

The nurse recognizes improvement in a client with the nursing diagnosis of Ineffective role performance related to the need to perform rituals. Which of the following behaviors indicates improvement?

1. The client refrains from performing rituals during stress.
2. The client verbalizes that he uses thought stopping when obsessive thoughts occur.
3. The client verbalizes the relationship between stress and ritualistic behaviors.
4. The client avoids stressful situations.
5. The client rationalizes ritualistic behavior.
6. The client performs ritualistic behaviors in private.

Answer 1

Improvement in a client with the nursing diagnosis of Ineffective role performance, specifically related to ritualistic behaviors, is most accurately indicated by the client verbalizing the relationship between stress and their rituals (option 3).

Step-by-step explanation:

Improvement in a client with the nursing diagnosis of Ineffective role performance, specifically related to ritualistic behaviors, is most accurately indicated by the client verbalizing the relationship between stress and their rituals (option 3). This demonstrates an increased level of self-awareness and understanding, which is crucial for effective intervention and management of the diagnosed issue. When a client can articulate the connection between stress and their ritualistic behaviors, it suggests progress in recognizing and addressing the underlying factors contributing to the ineffective role performance.

Clients refraining from performing rituals during stress (option 1) or using thought stopping techniques (option 2) may indicate some level of improvement, but verbalizing the relationship between stress and ritualistic behaviors goes a step further by addressing the cognitive aspect of the problem. It signifies a deeper level of insight into their own behavior and a potential shift towards more adaptive coping mechanisms.

Option 3 is correct.