A nurse is educating a group of nursing students about the differential diagnosis of obsessive-compulsive disorders (OCDs) in comparison to other mental disorders. Which factor helps differentiate OCDs from other mental disorders?

Ego-syntonic nature of obsessions and compulsions.

Connection of obsessions and compulsions to positive outcomes.

Lack of distress or impairment due to obsessions and compulsions.

Recognition that obsessions and compulsions are irrational and excessive.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Obsessions and compulsions in OCD are ego-dystonic, not ego-syntonic. Ego-dystonic refers to thoughts, feelings, or behaviors that are perceived as incompatible with one's self-concept. In OCD, individuals recognize that their obsessions and compulsions are irrational and unwanted, which causes distress.

Choice B rationale:

The connection of obsessions and compulsions to positive outcomes is not a distinguishing factor for OCD. In fact, obsessions and compulsions often lead to distress and interfere with daily functioning.

Choice C rationale:

The presence of distress or impairment is a key factor that helps differentiate OCD from other mental disorders. Unlike some other conditions where the behaviors or thoughts might not distress the individual, OCD is characterized by the distress caused by the irrational and unwanted obsessions and compulsions.

Choice D rationale:

This choice is the correct answer. Individuals with OCD recognize that their obsessions and compulsions are irrational and excessive, but they struggle to control them. This recognition is a hallmark of OCD and helps differentiate it from other conditions where the person might not be aware of the irrationality of their behavior.

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Correct Answer is ["B","D"]

Explanation

Choice A rationale:

This choice does not indicate symptoms of Body Dysmorphic Disorder (BDD) Feeling sad about being overweight is not specific to BDD and could be related to body dissatisfaction or other emotional concerns.

Choice B rationale:

This choice indicates a symptom of BDD. Constantly comparing one's appearance to that of celebrities suggests a preoccupation with perceived flaws, which is a hallmark of BDD. Individuals with BDD often engage in such comparisons as a way to validate their negative self-image.

Choice C rationale:

While spending excessive time in front of the mirror can be a symptom of BDD, the statement alone does not definitively indicate the disorder. It's important to consider the reason behind the mirror checking behavior and the individual's emotional distress related to it.

Choice D rationale:

This choice indicates a symptom of BDD. Avoiding social situations due to the fear of being negatively evaluated or judged based on one's perceived flaws is a classic sign of BDD. Individuals with BDD often believe that others are fixated on their perceived defects.

Choice E rationale:

This choice does not indicate symptoms of BDD. Having a collection of items without attaching sentimental value is not specific to BDD. It's important to focus on behaviors and thoughts related to perceived physical flaws when assessing for BDD.

A. "You should ignore these thoughts; they will eventually go away.” B. "Intrusive thoughts are a normal part of everyone's thinking.” C. "Let's work on strategies to manage these thoughts and reduce their impact.” D. "There's no need to worry about these thoughts; they won't affect you.”

Correct Answer is C

Explanation

Choice A rationale:

Telling the client to ignore the intrusive thoughts is not a therapeutic response. It dismisses the client's concerns and offers no constructive help in managing their distressing thoughts.

Choice B rationale:

Stating that intrusive thoughts are a normal part of everyone's thinking might invalidate the client's distress and does not provide practical strategies for dealing with their OCD symptoms.

Choice C rationale:

This is the correct choice. Acknowledging the client's concerns and offering to work on strategies to manage the thoughts is a therapeutic response. Collaboratively addressing the issue empowers the client to take an active role in their treatment.

Choice D rationale:

Dismissing the client's worries by saying there's no need to worry about the thoughts undermines their feelings and doesn't address the distress caused by the thoughts.

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A nurse is educating a group of nursing students about the differential diagnosis of obsessive-compulsive disorders (OCDs) in comparison to other mental disorders. Which factor helps differentiate OCDs from other mental disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with body dysmorphic disorder (BDD) is explaining their experiences to a nurse. Which statements by the client indicate symptoms of BDD? Select all that apply.

Correct Answer is ["B","D"]

Explanation

A client with OCD is concerned about their intrusive thoughts and the impact on their daily life. How should the nurse respond to the client's concerns?

Correct Answer is C

Explanation

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?

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?

A nurse is providing care to a client with trichotillomania (hair-pulling disorder) What intervention would be most appropriate to include in the client's care plan?

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

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?

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 educating a group of patients with OCD about their condition. Which information should the nurse include in the education session?

A nurse is caring for a client with OCD who is taking a selective serotonin reuptake inhibitor (SSRI) The client reports that they are having difficulty sleeping. Which of the following interventions should the nurse recommend?