A client is admitted to an inpatient psychiatric unit for treatment of obsessive-compulsive symptoms. Obsessive- compulsive disorder (OCD) is associated with:
Repetitive thoughts and recurring impulses
Physical signs and symptoms with no physiologic cause
Apprehension
Inability to concentrate
The Correct Answer is A
A. Repetitive thoughts and recurring impulses: OCD is characterized by obsessions (repetitive, intrusive thoughts) and compulsions (recurring impulses or behaviours performed to reduce anxiety). This choice best describes the core features of OCD.
B. Physical signs and symptoms with no physiologic cause: This description does not accurately describe OCD. While OCD symptoms are distressing and impairing, they are not typically categorized as having no physiologic cause.
C. Apprehension: Apprehension or general anxiety can be associated with many mental health disorders, but it is not specific to OCD, which is more about the presence of obsessions and compulsions rather than generalized apprehension.
D. Inability to concentrate: While inability to concentrate can be a symptom in various mental health disorders, it is not specific to OCD. OCD is more specifically characterized by repetitive thoughts and actions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Maintaining accurate records of intake and output: While monitoring intake and output is important for assessing fluid balance and kidney function, it is not as immediate a concern as maintaining an airway in an unconscious client.
B. Maintaining a patent airway: This is the highest priority because an unconscious client is at high risk of airway obstruction due to the loss of protective reflexes. Ensuring that the airway remains open is critical to prevent respiratory distress or arrest.
C. Inserting a nasogastric (NG) tube as prescribed: Inserting an NG tube might be necessary for feeding or draining gastric contents, but it is secondary to the more urgent need of ensuring a clear airway.
D. Providing appropriate pain control: Pain control is important but should be considered after addressing more immediate threats to the client's safety, such as maintaining a patent airway.
Correct Answer is D
Explanation
A. Benzodiazepines: Benzodiazepines are commonly prescribed for short-term management of anxiety disorders due to their rapid anxiolytic effects.
B. SSRIs: Selective serotonin reuptake inhibitors (SSRIs) are frequently used as first-line treatment for various anxiety disorders due to their efficacy and favorable side effect profile.
C. Tricyclic antidepressants: Tricyclic antidepressants (TCAs) are also used in the treatment of anxiety disorders, although they are less commonly prescribed than SSRIs due to their side effect profile.
D. Calcium channel blockers: Calcium channel blockers are not typically used to treat anxiety disorders. They are mainly used for cardiovascular conditions, such as hypertension and arrhythmias.
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