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?
Exposure and response prevention.
Systematic desensitization.
Flooding.
Thought stopping.
The Correct Answer is A
Choice A rationale:
Exposure and response prevention is a cornerstone of cognitive-behavioral therapy (CBT) for OCD. It involves exposing the individual to anxiety-provoking situations (exposure) and then preventing the usual compulsive response that reduces anxiety (response prevention) This helps the individual learn that their feared outcomes are unlikely to occur and that their anxiety will diminish over time without engaging in rituals.
Choice B rationale:
Systematic desensitization is a technique used to treat phobias and anxiety disorders by gradually exposing the individual to their feared stimuli while teaching relaxation techniques. While it may have some applicability in OCD treatment, it is not as directly aligned with the core features of OCD as exposure and response prevention.
Choice C rationale:
Flooding is a therapeutic technique that involves exposing the individual to an extreme level of their fear in order to diminish the anxiety response over time. While this approach might be used in certain anxiety disorders, it is not typically the first-line intervention for OCD. Exposure and response prevention is a more gradual and controlled technique that is better suited for OCD treatment.
Choice D rationale:
Thought stopping involves interrupting obsessive thoughts by using cues or distractions. This technique is not as effective in treating OCD as exposure and response prevention, which directly addresses the connection between obsessions and compulsions. Thought stopping may not provide the individual with a comprehensive strategy for managing their OCD symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E","C"]
Explanation
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.
Correct Answer is A
Explanation
Choice A rationale:
This statement indicates a need for further education. For medications used to treat OCD, consistent and regular dosing is important for their effectiveness. Taking medication only when feeling anxious could lead to inconsistent blood levels of the medication, potentially diminishing its therapeutic effects.
Choice B rationale:
The statement "I should report any side effects to my doctor" is accurate and does not indicate a need for further education. Reporting side effects to the doctor is a responsible and informed approach to medication management.
Choice C rationale:
The statement "It's important to continue taking my medication even if I start feeling better" is correct. Often, individuals with OCD may experience improvement in symptoms but need to continue the medication regimen to maintain the positive effects and prevent relapse.
Choice D rationale:
The statement "I'll stop taking my medication if I experience any discomfort" indicates a need for further education. Discomfort is a broad term that could encompass various mild side effects or adjustments that might be necessary when starting a new medication. It's important not to discontinue medication abruptly without consulting a healthcare provider.
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