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?

Encouraging the client to suppress the urge to pull hair whenever possible.

Exploring ways to camouflage the hair loss and lessen its visibility.

Assisting the client in finding replacement behaviors for hair-pulling.

Suggesting the client avoid mirrors to decrease the focus on appearance.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Encouraging suppression of the urge to pull hair might worsen the client's anxiety and tension associated with trichotillomania. This approach may not address the underlying issues and could lead to increased distress.

Choice B rationale:

Camouflaging hair loss can be a practical approach, but it does not address the compulsive behavior itself. It focuses on hiding the consequences of the disorder rather than addressing the core issue.

Choice C rationale:

Assisting the client in finding replacement behaviors is the most appropriate intervention. This approach helps redirect the urge to pull hair into healthier alternatives, helping the client manage the compulsive behavior in a constructive manner.

Choice D rationale:

Avoiding mirrors might be counterproductive. For some individuals with trichotillomania, avoiding mirrors might increase anxiety and preoccupation, as they may feel disconnected from their appearance. It's important to address the underlying behavior rather than avoiding triggers.

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Correct Answer is C

Explanation

Choice A rationale:

"Exposure and response prevention involves avoiding the triggers that lead to obsessions and compulsions." This statement is incorrect. Exposure and response prevention (ERP) in cognitive-behavioral therapy (CBT) for OCD involves facing the situations or triggers that lead to anxiety and obsessions. Instead of avoiding these triggers, individuals purposefully confront them to gradually reduce their anxiety response and break the cycle of performing compulsions in response to obsessions.

Choice B rationale:

"During exposure and response prevention, you'll engage in the compulsive behaviors to reduce anxiety gradually." This statement is also incorrect. ERP focuses on gradually reducing and eventually eliminating compulsive behaviors, not engaging in them. The goal is to help individuals learn that their anxiety naturally decreases over time when they refrain from performing the compulsions, ultimately breaking the connection between obsessions and anxiety-driven behaviors.

Choice C rationale:

"Exposure and response prevention helps you face the situations that trigger anxiety while preventing the compulsive behaviors." This statement accurately explains how exposure and response prevention works in treating OCD. During ERP, individuals purposefully confront situations that trigger their obsessions while refraining from engaging in compulsive behaviors. By doing so, they learn that their anxiety decreases without the need for compulsions, helping to weaken the link between obsessions and anxiety.

Choice D rationale:

"In exposure and response prevention, we eliminate all exposure to the situations that cause distress and anxiety." This statement is incorrect. ERP involves controlled exposure to distressing situations or triggers, not complete avoidance. The goal is to help individuals build tolerance to the anxiety triggered by these situations while resisting the urge to perform compulsions.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

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 concerned about the potential side effects of medication. The nurse explains that the choice of medication depends on several factors. Which factor is likely to influence the choice of medication for treating OCD?

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

A nurse is reviewing the medical record of a client with OCD. Which of the following findings is most likely to be present in the client's record?

(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?

A nurse is caring for a client with OCD who is receiving cognitive-behavioral therapy (CBT) Which of the following interventions is the nurse most likely to use?

(Select All That Apply):. A nurse is teaching a group of patients about pharmacological interventions for OCDs. Which medications are commonly used to treat OCDs? Select all that apply.

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?