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 C

Explanation

Choice A rationale:

Telling the client to ignore the intrusive thoughts is not a therapeutic response. It dismisses the client's concerns and offers no constructive help in managing their distressing thoughts.

Choice B rationale:

Stating that intrusive thoughts are a normal part of everyone's thinking might invalidate the client's distress and does not provide practical strategies for dealing with their OCD symptoms.

Choice C rationale:

This is the correct choice. Acknowledging the client's concerns and offering to work on strategies to manage the thoughts is a therapeutic response. Collaboratively addressing the issue empowers the client to take an active role in their treatment.

Choice D rationale:

Dismissing the client's worries by saying there's no need to worry about the thoughts undermines their feelings and doesn't address the distress caused by the thoughts.

A. Encouraging the client to suppress the urge to pull hair whenever possible. B. Exploring ways to camouflage the hair loss and lessen its visibility. C. Assisting the client in finding replacement behaviors for hair-pulling. D. Suggesting the client avoid mirrors to decrease the focus on appearance.

Correct Answer is C

Explanation

Choice A rationale:

Encouraging suppression of the urge to pull hair might worsen the client's anxiety and tension associated with trichotillomania. This approach may not address the underlying issues and could lead to increased distress.

Choice B rationale:

Camouflaging hair loss can be a practical approach, but it does not address the compulsive behavior itself. It focuses on hiding the consequences of the disorder rather than addressing the core issue.

Choice C rationale:

Assisting the client in finding replacement behaviors is the most appropriate intervention. This approach helps redirect the urge to pull hair into healthier alternatives, helping the client manage the compulsive behavior in a constructive manner.

Choice D rationale:

Avoiding mirrors might be counterproductive. For some individuals with trichotillomania, avoiding mirrors might increase anxiety and preoccupation, as they may feel disconnected from their appearance. It's important to address the underlying behavior rather than avoiding triggers.

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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 client with OCD is concerned about their intrusive thoughts and the impact on their daily life. How should the nurse respond to the client's concerns?

Correct Answer is C

Explanation

A nurse is providing care to a client with trichotillomania (hair-pulling disorder) What intervention would be most appropriate to include in the client's care plan?

Correct Answer is C

Explanation

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

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?

A client with OCD is undergoing cognitive-behavioral therapy (CBT) The client asks the nurse, "How does exposure and response prevention work in treating OCD?" Which response by the nurse accurately explains this aspect of CBT?

A nurse is caring for a client diagnosed with hoarding disorder. Which description accurately characterizes hoarding behavior?

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 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?

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?

(Select All That Apply):. A nurse is assessing a group of clients for their understanding of treatment approaches for OCDs. Which options accurately describe cognitive-behavioral therapy (CBT) and its components? Select all that apply.