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 ["A","C","D"]
Explanation
A. Unequal pupils: Unequal pupils (anisocoria) can indicate a potential neurological issue, such as intracranial pressure or brain injury, especially after trauma. It is a significant finding requiring further evaluation.
B. Pupil reaction quick: Quick pupil reaction is typically normal and indicates proper neurological function, not a concern.
C. Pinpoint pupils: Pinpoint pupils can indicate opioid overdose or certain types of brainstem injury and should be evaluated as a potential neurological concern.
D. Absence of pupillary response: Absence of pupillary response to light can be a serious neurological concern, indicating severe brain injury or significant neurological compromise.
E. Pupil reacts to light: A pupil that reacts to light is a normal finding and indicates proper neurological function.
Correct Answer is B
Explanation
A. Diarrhea: Opiates typically cause constipation, not diarrhea. Diarrhea is not a common finding with opiate use.
B. Pinpoint-sized pupils: Opiates commonly cause miosis, or pinpoint pupils. This is a classic sign of opiate use and is important for assessment.
C. Weight gain: Opiate use is not typically associated with weight gain; in fact, it can sometimes lead to decreased appetite and weight loss.
D. Bulimia: Bulimia is an eating disorder characterized by binge eating and purging. It is not a typical effect of opiate use.
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