A client with body dysmorphic disorder (BDD) is explaining their experiences to a nurse. Which statements by the client indicate symptoms of BDD? Select all that apply.

"I feel really sad sometimes because I'm overweight.”

"I often compare my appearance to that of celebrities.”

"I spend hours each day in front of the mirror, checking my face.”

"I avoid social situations because I think everyone is staring at my flaws.”

Answer and Explanation

Correct Answer : B,D

Choice A rationale:

This choice does not indicate symptoms of Body Dysmorphic Disorder (BDD) Feeling sad about being overweight is not specific to BDD and could be related to body dissatisfaction or other emotional concerns.

Choice B rationale:

This choice indicates a symptom of BDD. Constantly comparing one's appearance to that of celebrities suggests a preoccupation with perceived flaws, which is a hallmark of BDD. Individuals with BDD often engage in such comparisons as a way to validate their negative self-image.

Choice C rationale:

While spending excessive time in front of the mirror can be a symptom of BDD, the statement alone does not definitively indicate the disorder. It's important to consider the reason behind the mirror checking behavior and the individual's emotional distress related to it.

Choice D rationale:

This choice indicates a symptom of BDD. Avoiding social situations due to the fear of being negatively evaluated or judged based on one's perceived flaws is a classic sign of BDD. Individuals with BDD often believe that others are fixated on their perceived defects.

Choice E rationale:

This choice does not indicate symptoms of BDD. Having a collection of items without attaching sentimental value is not specific to BDD. It's important to focus on behaviors and thoughts related to perceived physical flaws when assessing for BDD.

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Correct Answer is A

Explanation

Choice A rationale:

Exposure and response prevention is a cornerstone of cognitive-behavioral therapy (CBT) for OCD. It involves exposing the individual to anxiety-provoking situations (exposure) and then preventing the usual compulsive response that reduces anxiety (response prevention) This helps the individual learn that their feared outcomes are unlikely to occur and that their anxiety will diminish over time without engaging in rituals.

Choice B rationale:

Systematic desensitization is a technique used to treat phobias and anxiety disorders by gradually exposing the individual to their feared stimuli while teaching relaxation techniques. While it may have some applicability in OCD treatment, it is not as directly aligned with the core features of OCD as exposure and response prevention.

Choice C rationale:

Flooding is a therapeutic technique that involves exposing the individual to an extreme level of their fear in order to diminish the anxiety response over time. While this approach might be used in certain anxiety disorders, it is not typically the first-line intervention for OCD. Exposure and response prevention is a more gradual and controlled technique that is better suited for OCD treatment.

Choice D rationale:

Thought stopping involves interrupting obsessive thoughts by using cues or distractions. This technique is not as effective in treating OCD as exposure and response prevention, which directly addresses the connection between obsessions and compulsions. Thought stopping may not provide the individual with a comprehensive strategy for managing their OCD symptoms.

A. "We will completely avoid the situations that cause anxiety.” B. "You'll need to perform your compulsions while facing these situations.” C. "There's no need to confront your fears; they will go away on their own.” D. "You should only focus on situations that are easy to tolerate.”

Correct Answer is B

Explanation

Choice A rationale:

Avoiding situations that cause anxiety is counterproductive in exposure therapy, which is a common treatment for OCD. Exposure therapy involves gradual and controlled exposure to feared stimuli to reduce anxiety. Avoidance reinforces the anxiety response and prevents habituation. Facing the situations that trigger anxiety is crucial for desensitization.

Choice B rationale:

This choice is correct because exposure therapy for OCD involves facing feared situations while refraining from engaging in compulsions. Compulsions are repetitive behaviors or mental acts that a person feels driven to perform in response to an obsession or according to rigid rules. By gradually exposing the individual to these situations and preventing them from performing compulsions, the anxiety response diminishes over time.

Choice C rationale:

Telling the patient that their fears will go away on their own is inaccurate and dismissive of the distress that OCD can cause. OCD is a chronic condition that typically requires evidence-based interventions for symptom reduction. Ignoring the fears and hoping they will disappear without intervention is not a valid therapeutic approach.

Choice D rationale:

Focusing only on situations that are easy to tolerate would not be effective in exposure therapy. The essence of exposure therapy is to confront situations that provoke anxiety gradually, starting with less anxiety-provoking situations and progressing to more challenging ones. This process helps the individual build resilience against anxiety triggers.

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A client with body dysmorphic disorder (BDD) is explaining their experiences to a nurse. Which statements by the client indicate symptoms of BDD? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with OCD who is receiving cognitive-behavioral therapy (CBT) Which of the following interventions is the nurse most likely to use?

Correct Answer is A

Explanation

A nurse is assisting a patient with OCD in developing a hierarchy of feared stimuli for exposure therapy. Which statement by the nurse is appropriate during this process?

Correct Answer is B

Explanation

A nurse is assessing a client with obsessive-compulsive disorder (OCD) The client reports that they have been having recurrent thoughts about contamination. Which of the following is the most appropriate nursing diagnosis for this client?

A nurse is caring for a client with OCD who is refusing to leave their room because they are afraid of contamination. Which of the following interventions should the nurse prioritize?

A nurse is reviewing the medical record of a client with OCD. Which of the following findings is most likely to be present in the client's record?

A nurse is discussing pharmacological interventions for treating OCDs with a group of patients. Which statement accurately describes the role of selective serotonin reuptake inhibitors (SSRIs) in OCD treatment?

A nurse is assessing a patient with obsessive-compulsive disorder (OCD) using the Nursing Outcomes Classification (NOC) Which of the following outcomes would the nurse expect to find in the NOC for patients with OCD?

A nurse is providing care for a client with obsessive-compulsive disorder (OCD) Which statement by the nurse would be most appropriate in this situation?

A nurse is educating a group of patients with OCD about their condition. Which information should the nurse include in the education session?

A nurse is assessing a client who has been diagnosed with obsessive-compulsive disorder (OCD) Which statement by the client indicates an obsession?