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?

C.

Choice A rationale:

Providing physical care only. This choice is not the correct answer. Collaborating on care for a client with an eating disorder involves more than just providing physical care. Eating disorders are complex mental health issues that require a multidisciplinary approach, addressing both physical and psychological aspects.

Choice B rationale:

Sharing information and coordinating care. This is a correct answer. Collaborating with the multidisciplinary team is crucial in caring for clients with eating disorders. Sharing information and coordinating care among various healthcare professionals, such as therapists, dietitians, physicians, and psychologists, ensures a holistic approach to treatment. Eating disorders often have psychological, nutritional, and medical components that need to be addressed collectively.

Choice C rationale:

Making referrals exclusively to physicians. This choice is not entirely accurate. While physicians may be part of the multidisciplinary team, collaborating on eating disorder cases goes beyond just making referrals to physicians. Other specialists, such as therapists, dietitians, and psychologists, play essential roles in the comprehensive care of these clients.

Choice D rationale:

Administering medications without consulting others. This choice is not the correct answer. Administering medications without consulting the multidisciplinary team can be dangerous, especially in cases of eating disorders where medication management might interact with other aspects of treatment. Collaborative decision-making helps prevent adverse interactions and ensures that all aspects of care are considered.

Choice E rationale:

Participating in team meetings. This is a correct answer. Participating in team meetings is vital for effective collaboration in the care of clients with eating disorders. These meetings provide an opportunity to discuss the client's progress, adjust treatment plans, and share insights from different perspectives. Regular communication among team members promotes a well-rounded approach to care.

Choice A rationale:

The observation that the client's obsessions and compulsions are consistent with their self-image would not necessarily support the diagnosis of OCD. This could be applicable to other mental disorders as well, where the symptoms align with the individual's self-concept.

Choice B rationale:

If the client engages in compulsions to achieve pleasurable outcomes, this might suggest a different perspective. OCD compulsions are typically performed to alleviate distress or prevent a feared event, not for achieving pleasure.

Choice C rationale:

If the client's obsessions and compulsions are not causing significant distress, this could point towards other disorders or even potentially normal behavior. OCD is characterized by the distress caused by the obsessions and the urge to perform compulsions to alleviate this distress.

Choice D rationale:

The correct answer. In OCD, individuals are aware that their obsessions and compulsions are irrational and excessive. This self-awareness differentiates OCD from other disorders where the beliefs and behaviors might be seen as reasonable by the individual.