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?

"You need to stop these behaviors immediately to overcome your disorder.”

"Try to distract yourself whenever you feel the urge to perform a compulsion.”

"It's important to give in to your compulsions to relieve your anxiety.”

"Let's work together to develop strategies to gradually reduce these behaviors over time.”

Answer and Explanation

The Correct Answer is D

Choice A rationale:

The nurse should not tell the client to stop their behaviors immediately, as this approach is likely to increase anxiety and distress. Individuals with obsessive-compulsive disorder (OCD) often find it challenging to abruptly stop their compulsions, and attempting to do so can lead to heightened anxiety.

Choice B rationale:

Distracting oneself from the urge to perform compulsions might provide temporary relief, but it does not address the underlying issues of OCD. It is essential to work on strategies that target the reduction of compulsions and the management of anxiety associated with them.

Choice C rationale:

Giving in to compulsions might temporarily relieve anxiety, but it reinforces the cycle of OCD behavior. Encouraging the client to give in to compulsions is counterproductive to the treatment of OCD, which involves breaking the pattern of compulsive behavior.

Choice D rationale:

This is the correct choice. Collaboratively developing strategies to gradually reduce compulsive behaviors is a standard approach in treating OCD. This method is aligned with exposure and response prevention therapy, a well-established treatment for OCD. By gradually facing the situations that trigger obsessive thoughts and then refraining from performing compulsions, clients can learn to manage their anxiety and reduce their reliance on compulsive behaviors.

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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. Discarding possessions easily, regardless of their value. B. Accumulating possessions without any emotional attachment. C. Needing to save items and experiencing distress when discarding them. D. Organizing possessions meticulously to maintain a clutter-free environment.

Correct Answer is C

Explanation

Choice A rationale:

Discarding possessions easily, regardless of their value, is not characteristic of hoarding disorder. Hoarding disorder involves the persistent difficulty in parting with possessions, even if they have little value, due to the emotional attachment individuals feel toward these items.

Choice B rationale:

Accumulating possessions without any emotional attachment is not indicative of hoarding disorder. In hoarding disorder, emotional attachment to possessions is a hallmark feature, and individuals often experience distress at the thought of discarding items.

Choice C rationale:

This is the correct choice. Hoarding disorder is characterized by the strong need to save items, regardless of their practical value, and the significant distress experienced when attempting to discard them. This behavior leads to the accumulation of possessions and can result in living spaces becoming cluttered and uninhabitable.

Choice D rationale:

Organizing possessions meticulously to maintain a clutter-free environment is not consistent with hoarding disorder. People with hoarding disorder struggle with organization and often have difficulty maintaining clutter-free spaces due to the accumulation of possessions.

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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?

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

Correct Answer is C

Explanation

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?

A nurse is caring for a client with OCD who is experiencing an anxiety attack. The client is saying, "I have to wash my hands! I have to wash my hands!" Which of the following responses should the nurse make?

A nurse is assessing a client who has been diagnosed with obsessive-compulsive disorder (OCD) Which statement by the client indicates an obsession?

(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 with OCD who has a compulsion to wash their hands repeatedly. Which of the following interventions should the nurse prioritize?

A client with OCD is undergoing cognitive-behavioral therapy (CBT) The client asks the nurse, "How does exposure and response prevention work in treating OCD?" Which response by the nurse accurately explains this aspect of CBT?

(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?

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?