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

"I have to check the locks on the door 10 times before I can leave my house.”

"I'm afraid that I'm going to get sick if I don't wash my hands every 15 minutes.”

"I think I'm going crazy because I keep thinking about these things.”

"I'm not sure if I'm really sick or if I'm just imagining it.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The statement "I have to check the locks on the door 10 times before I can leave my house" is indicative of checking compulsions often seen in OCD. This involves repetitive behaviors performed to reduce distress, such as checking locks multiple times. However, this choice is less likely because it focuses on checking rather than washing.

Choice B rationale:

The correct answer. This statement reflects a common manifestation of OCD, specifically contamination-related obsessions and cleaning compulsions. The client's fear of getting sick from not washing their hands is a classic example of obsessive thoughts leading to repetitive behaviors aimed at reducing anxiety.

Choice C rationale:

The statement "I think I'm going crazy because I keep thinking about these things" indicates the presence of intrusive and distressing thoughts, which are characteristic of OCD. However, this choice does not encompass the compulsive behaviors that are essential for an OCD diagnosis. It primarily highlights the emotional distress associated with the thoughts.

Choice D rationale:

The statement "I'm not sure if I'm really sick or if I'm just imagining it" suggests uncertainty and doubt, which are common features of OCD. However, this choice does not emphasize the typical compulsions that accompany OCD. It focuses more on self-doubt rather than specific ritualistic behaviors.

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Correct Answer is C

Explanation

Choice A rationale:

Encouraging the client to "talk about their fears" might be a beneficial intervention in some cases, but for individuals with OCD who are struggling with compulsive behaviors driven by their fears, directly addressing exposure to those fears is a more effective approach.

Choice B rationale:

While setting limits on the client's behavior is important, it may not be the priority in this situation. Instead, assisting the client in gradually confronting their fears through exposure therapy can help them develop healthier coping mechanisms.

Choice C rationale:

The correct response emphasizes gradual exposure therapy, a well-established approach in treating OCD. This intervention helps the client confront their fears in a controlled and systematic manner, leading to desensitization and reduction in their anxiety over time.

Choice D rationale:

Providing relaxation techniques can be helpful for managing anxiety, but for someone with OCD who is avoiding situations due to contamination fears, the primary intervention should focus on exposure therapy to address the specific OCD-related fears.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

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

(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?

(Select all that apply) A nurse is implementing interventions for a patient with OCD based on the Nursing Interventions Classification (NIC) Which interventions would the nurse include for this patient?

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

(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 nurse is teaching a group of patients about treatment approaches for OCDs. Which statement accurately explains the rationale behind gradually increasing the dosage of medication during treatment?

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.

A nurse is caring for a client with OCD who is experiencing an anxiety attack. The client is saying, "I have to wash my hands! I have to wash my hands!" Which of the following responses should the nurse make?

A client with OCD expresses concerns about their medication. Which statement by the client indicates a need for further education?