A client with OCD is concerned about the potential side effects of medication. The nurse explains that the choice of medication depends on several factors. Which factor is likely to influence the choice of medication for treating OCD?

The medication's ability to enhance positive emotional outcomes.

The client's desire to eliminate all obsessions and compulsions immediately.

The potential for medication to target ego-syntonic obsessions and compulsions.

The type and severity of OCD, along with the client's preferences and tolerance.

Answer and Explanation

The Correct Answer is D

Choice D rationale:

The type and severity of OCD, along with the client's preferences and tolerance, are key factors that influence the choice of medication for treating OCD. OCD symptoms can vary widely between individuals, and different medications may be more effective for specific symptom profiles. Additionally, the severity of symptoms and potential side effects of medications should be carefully considered. Client preferences and tolerances play a crucial role in treatment adherence and success. Collaborative decision-making between the client and healthcare provider ensures that the chosen medication aligns with the individual's needs and goals.

Choice A rationale:

While enhancing positive emotional outcomes is a desired effect of treatment, it's not a direct factor that influences the choice of medication for treating OCD. The choice of medication is primarily based on its mechanism of action and its demonstrated efficacy in targeting OCD symptoms.

Choice B rationale:

Completely eliminating all obsessions and compulsions immediately is often not a realistic expectation for OCD treatment. Medications and psychotherapeutic approaches aim to reduce the severity and frequency of symptoms, improve overall functioning, and enhance quality of life.

Choice C rationale:

Ego-syntonic obsessions and compulsions are those that are consistent with the individual's sense of self and values, making them less distressing and more difficult to recognize as irrational. While addressing ego-syntonic symptoms is important, this factor alone does not dictate the choice of medication. The overall symptom profile and the medication's mechanism of action are more influential factors.

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Correct Answer is D

Explanation

Choice A rationale:

The statement "I always arrange my books on the shelf from tallest to shortest" doesn't indicate an obsession. This behavior might suggest a preference for orderliness or arranging things systematically, but it lacks the distressing, unwanted nature of obsessions.

Choice B rationale:

"I feel an overwhelming urge to wash my hands every 30 minutes" indicates a compulsion rather than an obsession. The urge to wash hands frequently is driven by the need to alleviate anxiety or distress, which is the hallmark of compulsive behaviors.

Choice C rationale:

"I have a ritual of counting to 10 before entering any room" is also a compulsion. The ritual of counting serves as a way to reduce anxiety or prevent a feared outcome associated with entering a room, suggesting a compulsive behavior.

Choice D rationale:

The statement "I keep having thoughts that my family will get hurt if I don't touch the doorknob three times" reflects an obsession. The distressing thought of family harm is the unwanted obsession, and the ritual of touching the doorknob three times is the compulsion aimed at reducing the anxiety caused by the obsession.

A. Encouraging the client to challenge negative thoughts. B. Providing a list of alternative compulsions. C. Suggesting complete avoidance of anxiety triggers. D. Assigning more exposure therapy sessions. E. Acknowledging the client's efforts in therapy.

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale:

Encouraging the client to challenge negative thoughts is an effective cognitive-behavioral approach. It helps the client reframe their thinking patterns and build healthier self-esteem.

Choice B rationale:

Providing a list of alternative compulsions supports the client in finding healthier ways to cope with their anxiety. This can lead to a sense of accomplishment and improved self-esteem.

Choice C rationale:

Suggesting complete avoidance of anxiety triggers might seem helpful, but in the context of OCD, avoidance can reinforce the obsessions and compulsions. Gradual exposure and response prevention are evidence-based strategies.

Choice D rationale:

Assigning more exposure therapy sessions should be based on the client's progress and therapist's assessment. Increasing sessions solely for the sake of it might not be effective and could lead to frustration.

Choice E rationale:

Acknowledging the client's efforts in therapy fosters a positive therapeutic relationship and boosts their self-esteem. Recognizing progress and hard work encourages continued engagement in treatment.

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A client with OCD is concerned about the potential side effects of medication. The nurse explains that the choice of medication depends on several factors. Which factor is likely to influence the choice of medication for treating OCD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

(Select all that apply). A client with OCD is experiencing impaired self-esteem due to their obsessions and compulsions. Which actions should the nurse take to promote the client's self-esteem?

Correct Answer is ["A","B","E"]

Explanation

(Select all that apply) A nurse is collaborating with other healthcare professionals to provide comprehensive care for a patient with OCD. Which actions should the nurse take as part of this collaboration?

A client with OCD is telling the nurse about their symptoms. Which of the following statements is most likely made by the client?

A nurse is educating a client who has been diagnosed with various types of obsessive-compulsive disorders (OCDs) Select all the themes that can categorize obsessions and compulsions in individuals with OCD.

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?

A client with OCD is experiencing distress and anxiety due to obsessions. Which intervention should the nurse prioritize to reduce the client's distress?

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?

(Select All That Apply):. A nurse is assessing a client with suspected OCD. Which statements accurately describe characteristics of OCDs that help differentiate them from other mental disorders? Select all that apply.

A client is being evaluated for potential OCD. The nurse explains the differential diagnosis process. Which observation supports the diagnosis of OCD rather than another mental disorder?