A nurse is discussing pharmacological interventions for treating OCDs with a group of patients. Which statement accurately describes the role of selective serotonin reuptake inhibitors (SSRIs) in OCD treatment?
"SSRIs primarily target glutamate modulation in the brain.”
"SSRIs work by increasing the availability of serotonin in the brain to reduce obsessions and compulsions.”
"SSRIs are used to enhance positive emotional outcomes in individuals with OCD.”
"SSRIs are reserved for individuals who have ego-syntonic obsessions and compulsions.”
The Correct Answer is B
Choice A rationale:
"SSRIs primarily target glutamate modulation in the brain." This statement is inaccurate. Selective serotonin reuptake inhibitors (SSRIs) primarily target the modulation of serotonin levels in the brain, not glutamate. These medications work by inhibiting the reuptake of serotonin, which increases the availability of serotonin in the synaptic cleft and helps regulate mood and anxiety.
Choice B rationale:
"SSRIs work by increasing the availability of serotonin in the brain to reduce obsessions and compulsions." This statement accurately describes the role of SSRIs in treating OCD. Serotonin is a neurotransmitter that plays a role in mood regulation, and imbalances in serotonin have been implicated in OCD. By increasing the availability of serotonin in the brain, SSRIs can help reduce the frequency and intensity of obsessions and compulsions.
Choice C rationale:
"SSRIs are used to enhance positive emotional outcomes in individuals with OCD." This statement is not accurate. While SSRIs can improve mood and reduce anxiety, their primary role in treating OCD is to alleviate the symptoms of obsessions and compulsions by affecting neurotransmitter levels. They are not specifically used to enhance positive emotional outcomes.
Choice D rationale:
"SSRIs are reserved for individuals who have ego-syntonic obsessions and compulsions." This statement is incorrect. Ego-syntonic obsessions and compulsions are those that are consistent with a person's self-image and beliefs, and individuals may not feel a strong need to resist or change them. SSRIs are used to treat both ego-dystonic (inconsistent with self-image) and ego-syntonic obsessions and compulsions in OCD, as these medications target the underlying neurochemical imbalances that contribute to the disorder's symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Impaired social interaction. This choice is not the most appropriate nursing diagnosis for a client with obsessive-compulsive disorder (OCD) experiencing recurrent thoughts about contamination. OCD primarily involves anxiety-driven behaviors and rituals rather than impaired social interaction.
Choice B rationale:
Anxiety. This is the correct answer. Given that the client is experiencing recurrent thoughts about contamination, the most appropriate nursing diagnosis is anxiety. OCD is characterized by intrusive thoughts and rituals driven by anxiety. Addressing the anxiety component is essential for effective treatment.
Choice C rationale:
Risk for self-harm. While individuals with severe OCD may experience distress, the given information does not indicate an immediate risk for self-harm. Anxiety is the more relevant issue in this scenario.
Choice D rationale:
Obsessive-compulsive disorder. This choice describes the client's condition rather than a nursing diagnosis. Nursing diagnoses are used to identify specific client problems that nurses can address through care and interventions.
Correct Answer is C
Explanation
Choice A rationale:
The statement that medication will provide immediate relief from all symptoms is an overgeneralization. While medication can help alleviate symptoms, the relief might not be immediate and might not cover all symptoms comprehensively.
Choice B rationale:
Medication modifying self-image and values is not a recognized benefit of pharmacological treatment for OCD. This choice does not align with the established mechanisms of action of the medications used for OCD.
Choice C rationale:
The correct answer. Medication's potential to reduce the severity of obsessions and compulsions is a relevant benefit to highlight. While it might not eliminate symptoms entirely, it can make them more manageable and improve the individual's overall quality of life.
Choice D rationale:
The statement that medication will eliminate the need for any psychotherapeutic interventions is overly optimistic. A comprehensive treatment approach for OCD often includes a combination of medication and psychotherapy for optimal results.
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