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?
Blood pressure regulation.
Pain management.
Coping and self-esteem improvement.
Respiratory function optimization.
The Correct Answer is C
Choice A rationale:
Blood pressure regulation is not directly related to the outcomes for patients with obsessive-compulsive disorder (OCD) OCD primarily involves persistent, unwanted thoughts and repetitive behaviors, and blood pressure regulation is not a priority outcome for this condition.
Choice B rationale:
Pain management is also not relevant to the outcomes of patients with OCD. OCD doesn't cause physical pain, so pain management interventions would not be included in the Nursing Outcomes Classification (NOC) for OCD patients.
Choice C rationale:
Coping and self-esteem improvement is the correct choice. Individuals with OCD often struggle with managing their distressing thoughts and compulsive behaviors. Improving coping mechanisms and enhancing self-esteem are important goals in the care of these patients. The NOC would include outcomes related to helping patients develop healthier ways of managing their thoughts and behaviors, thereby improving their overall quality of life.
Choice D rationale:
Respiratory function optimization is unrelated to the outcomes of patients with OCD. This outcome is more relevant to conditions affecting the respiratory system, such as asthma or chronic obstructive pulmonary disease (COPD), and not to OCD.
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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.
Correct Answer is C
Explanation
Choice A rationale:
While genetic factors can contribute to the development of OCD, stating that it is solely caused by genetic factors oversimplifies the etiology. OCD is a complex disorder with multiple factors, including genetic, neurobiological, cognitive, and environmental influences.
Choice B rationale:
This statement is incorrect. Exposure therapy is a highly effective treatment for OCD. It involves controlled and systematic exposure to feared stimuli, which helps individuals reduce their anxiety responses over time.
Choice C rationale:
This choice is correct because selective serotonin reuptake inhibitors (SSRIs) are indeed commonly used as a first-line pharmacological treatment for OCD. These medications help regulate serotonin levels in the brain, which can reduce the frequency and intensity of obsessions and compulsions.
Choice D rationale:
Cognitive-behavioral therapy (CBT) is actually recommended as one of the most effective treatments for OCD. CBT, including exposure and response prevention, helps individuals learn to manage their symptoms by changing maladaptive thought patterns and behaviors associated with OCD. Therefore, stating that CBT is not recommended is inaccurate.
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