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?

The obsessions or compulsions are connected in a realistic way with what they are designed to neutralize or prevent.

The behaviors or mental acts are aimed at achieving perfectionism and high standards.

The disturbance must be attributable to the physiological effects of a substance or another medical condition.

The obsessive-compulsive symptoms are better explained by the symptoms of another mental disorder.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

This choice accurately reflects one of the criteria for diagnosing OCD. The obsessions (intrusive and distressing thoughts) and compulsions (repetitive behaviors or mental acts) experienced by individuals with OCD are usually connected to what they are trying to neutralize or prevent. For instance, if someone has an obsessive fear of contamination, their compulsions might involve excessive hand washing to neutralize this fear.

Choice B rationale:

While perfectionism and high standards can be associated with OCD, they are not a primary diagnostic criterion. OCD is characterized by the presence of obsessions and compulsions that cause distress and significantly interfere with a person's daily life.

Choice C rationale:

This option is incorrect. The disturbance in OCD is not attributed to the physiological effects of substances or other medical conditions. It is a distinct mental health condition that is not solely a result of substance use or another medical issue.

Choice D rationale:

This option is incorrect. The symptoms of OCD should not be better explained by the symptoms of another mental disorder. While comorbidities can exist, OCD has its own unique set of obsessions and compulsions that differentiate it from other mental disorders.

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Correct Answer is ["B","C","E"]

Explanation

Choice A rationale:

Sharing patient information without consent violates patient privacy and confidentiality. This goes against ethical and legal standards in healthcare.

Choice B rationale:

This is a correct choice. Communicating treatment progress to the healthcare team ensures everyone is informed and can provide coordinated care. Collaboration and information sharing are important for comprehensive patient management.

Choice C rationale:

Referring the patient to support groups is a collaborative action that can provide additional avenues of help and coping strategies. Support groups can offer a sense of community and understanding among individuals facing similar challenges.

Choice D rationale:

Excluding the patient from treatment decisions contradicts patient-centered care and shared decision-making principles. Collaboration involves involving the patient in their own care.

Choice E rationale:

Coordinating medication adjustments is a collaborative action as medications are often managed by healthcare professionals such as doctors or nurse practitioners. Adjustments should be made collectively to ensure the best outcome for the patient.

A. Encouraging the client to challenge negative thoughts. B. Providing a list of alternative compulsions. C. Suggesting complete avoidance of anxiety triggers. D. Assigning more exposure therapy sessions. E. Acknowledging the client's efforts in therapy.

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale:

Encouraging the client to challenge negative thoughts is an effective cognitive-behavioral approach. It helps the client reframe their thinking patterns and build healthier self-esteem.

Choice B rationale:

Providing a list of alternative compulsions supports the client in finding healthier ways to cope with their anxiety. This can lead to a sense of accomplishment and improved self-esteem.

Choice C rationale:

Suggesting complete avoidance of anxiety triggers might seem helpful, but in the context of OCD, avoidance can reinforce the obsessions and compulsions. Gradual exposure and response prevention are evidence-based strategies.

Choice D rationale:

Assigning more exposure therapy sessions should be based on the client's progress and therapist's assessment. Increasing sessions solely for the sake of it might not be effective and could lead to frustration.

Choice E rationale:

Acknowledging the client's efforts in therapy fosters a positive therapeutic relationship and boosts their self-esteem. Recognizing progress and hard work encourages continued engagement in treatment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Select all that apply) A nurse is collaborating with other healthcare professionals to provide comprehensive care for a patient with OCD. Which actions should the nurse take as part of this collaboration?

Correct Answer is ["B","C","E"]

Explanation

(Select all that apply). A client with OCD is experiencing impaired self-esteem due to their obsessions and compulsions. Which actions should the nurse take to promote the client's self-esteem?

Correct Answer is ["A","B","E"]

Explanation

(Select all that apply):. A nurse is caring for a client with an eating disorder. What responsibilities should the nurse collaborate on with the multidisciplinary team? (Choose three.)

A nurse is caring for a client diagnosed with hoarding disorder. Which description accurately characterizes hoarding behavior?

A client is being evaluated for potential OCD. The nurse explains the differential diagnosis process. Which observation supports the diagnosis of OCD rather than another mental disorder?

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 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.

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.

(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 client with OCD is telling the nurse about their symptoms. Which of the following statements is most likely made by the client?