A nurse is educating a client who has been diagnosed with various types of obsessive-compulsive disorders (OCDs) Select all the themes that can categorize obsessions and compulsions in individuals with OCD.

Fear of heights and open spaces leading to avoidance behaviors.

Repeatedly checking if the stove is turned off before leaving the house.

Feeling the need to touch every object in a room an equal number of times.

Persistent worry about a loved one's safety causing ritualistic prayers.

Strong desire to organize items by color, shape, and size.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale:

While fear of heights and open spaces leading to avoidance behaviors can be associated with anxiety disorders, it is not a typical theme for obsessions and compulsions in individuals with OCD. OCD themes usually revolve around repetitive thoughts and behaviors that aim to alleviate distress or prevent feared outcomes.

Choice B rationale:

The repeated checking of the stove being turned off before leaving the house is a common obsession and compulsion in individuals with OCD. This behavior stems from the fear of potential harm or danger (e.g., fire) and the compulsive act of checking is performed to reduce anxiety related to the obsession.

Choice C rationale:

Feeling the need to touch every object in a room an equal number of times is another manifestation of OCD. This behavior is driven by the obsession of achieving symmetry, balance, or a sense of completeness through compulsive rituals like touching.

Choice D rationale:

Persistent worry about a loved one's safety causing ritualistic prayers is also a theme seen in OCD. Individuals may feel compelled to engage in repetitive prayers or rituals to protect their loved ones from harm due to their obsessive fears.

Choice E rationale:

The strong desire to organize items by color, shape, and size is more indicative of perfectionism or certain personality traits rather than a typical theme in OCD. OCD usually involves distressing and unwanted thoughts (obsessions) and the corresponding rituals or repetitive behaviors (compulsions) aimed at reducing the distress.

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Correct Answer is B

Explanation

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.

A. "I'm going to take my medication only when I feel anxious.” B. "I should report any side effects to my doctor.” C. "It's important to continue taking my medication even if I start feeling better.” D. "I'll stop taking my medication if I experience any discomfort.”

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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A nurse is educating a client who has been diagnosed with various types of obsessive-compulsive disorders (OCDs) Select all the themes that can categorize obsessions and compulsions in individuals with OCD.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

A client with OCD is hesitant about taking medication. Which potential benefit of pharmacological treatment could the nurse emphasize to encourage the client?

A nurse is caring for a client with OCD who has a compulsion to wash their hands repeatedly. Which of the following interventions should the nurse prioritize?

A nurse is providing care for a client with obsessive-compulsive disorder (OCD) Which statement by the nurse would be most appropriate in this situation?

(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 explaining the diagnostic criteria for obsessive-compulsive disorder (OCD) to a group of nursing students. Which of the following statements accurately reflects one of the criteria for diagnosing OCD?

(Select All That Apply):. A nurse is assessing a group of clients for their understanding of treatment approaches for OCDs. Which options accurately describe cognitive-behavioral therapy (CBT) and its components? 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 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?