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?

"Higher medication doses are needed to quickly suppress all obsessive thoughts and compulsive behaviors.”

"Starting with a low dose helps minimize potential side effects and allows the body to adjust to the medication.”

"The goal is to achieve complete relief from obsessions and compulsions within a few days.”

"Higher doses are necessary to overcome the resistance often seen in individuals with OCD.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The statement that higher medication doses are needed to quickly suppress all obsessive thoughts and compulsive behaviors is not accurate. Medication dosages are adjusted based on individual response and tolerability, and the goal is not necessarily to use the highest dose possible.

Choice B rationale:

The correct answer. Starting with a low dose is a common practice in psychiatric medication management. This helps the body adjust to the medication gradually, reducing the likelihood and severity of side effects. As the body becomes accustomed to the medication, the dose can be gradually increased to achieve the desired therapeutic effect.

Choice C rationale:

The goal of achieving complete relief from obsessions and compulsions within a few days is an unrealistic expectation. Psychiatric medications typically require time to take effect, often several weeks, and complete relief might not occur for all individuals.

Choice D rationale:

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Correct Answer is C

Explanation

Choice A rationale:

Teach the client relaxation techniques. While teaching relaxation techniques can be beneficial, it may not directly address the client's compulsion to wash their hands repeatedly. OCD involves managing distressing thoughts and compulsions through specific interventions.

Choice B rationale:

Encourage the client to talk about their thoughts and feelings. While promoting open communication is generally important, it may not be the most effective intervention for directly addressing the client's compulsion to wash their hands. OCD interventions often involve exposure and response prevention strategies.

Choice C rationale:

Assist the client in developing a hierarchy of feared situations. This is the correct answer. Helping the client develop a hierarchy of feared situations is a key intervention in addressing OCD. This approach is part of exposure and response prevention therapy, where clients gradually face their fears without engaging in compulsive behaviors.

Choice D rationale:

Praise the client for decreasing the frequency of handwashing. While positive reinforcement can be useful, it may not be the priority intervention for someone with OCD. The focus should be on structured interventions that challenge and reduce the compulsive behaviors over time.

A. The client's obsessions and compulsions are consistent with their self-image. B. The client engages in compulsions to achieve pleasurable outcomes. C. The client's obsessions and compulsions are not causing significant distress. D. The client recognizes that their obsessions and compulsions are irrational.

Correct Answer is D

Explanation

Choice A rationale:

The observation that the client's obsessions and compulsions are consistent with their self-image would not necessarily support the diagnosis of OCD. This could be applicable to other mental disorders as well, where the symptoms align with the individual's self-concept.

Choice B rationale:

If the client engages in compulsions to achieve pleasurable outcomes, this might suggest a different perspective. OCD compulsions are typically performed to alleviate distress or prevent a feared event, not for achieving pleasure.

Choice C rationale:

If the client's obsessions and compulsions are not causing significant distress, this could point towards other disorders or even potentially normal behavior. OCD is characterized by the distress caused by the obsessions and the urge to perform compulsions to alleviate this distress.

Choice D rationale:

The correct answer. In OCD, individuals are aware that their obsessions and compulsions are irrational and excessive. This self-awareness differentiates OCD from other disorders where the beliefs and behaviors might be seen as reasonable by the individual.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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?

Correct Answer is D

Explanation

(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.

(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 teaching a group of nursing students about the pathophysiology of obsessive-compulsive disorders (OCDs) Which brain circuit is thought to be involved in OCDs, and what are its main components responsible for regulating cognitive processes?

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.

A client with OCD is experiencing distress and anxiety due to obsessions. Which intervention should the nurse prioritize to reduce the client's distress?

(Select all that apply) A nurse is implementing interventions for a patient with OCD based on the Nursing Interventions Classification (NIC) Which interventions would the nurse include for this patient?

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