(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.

CBT involves exposing the individual to feared stimuli or situations.

CBT primarily focuses on replacing distorted thoughts with unrealistic beliefs.

Exposure and response prevention helps the individual habituate to anxiety.

CBT aims to enhance positive emotional outcomes related to obsessions.

Cognitive therapy in CBT challenges cognitive distortions underlying OCD.

Answer and Explanation

Correct Answer : A,C,E

Choice A rationale:

Cognitive-behavioral therapy (CBT) often involves exposing individuals to feared stimuli or situations in a controlled and gradual manner, a technique known as exposure therapy. This exposure helps individuals confront their anxieties and gradually reduce their distress over time. Exposure therapy is a cornerstone of CBT for anxiety disorders, including OCD.

Choice C rationale:

Exposure and response prevention (ERP) is a critical component of CBT for OCD. This technique involves exposing the individual to anxiety-provoking situations or thoughts (exposure) while preventing the usual compulsive responses (response prevention). Through repeated exposures without engaging in compulsions, the individual learns that their anxiety naturally decreases over time, leading to habituation to the anxiety-provoking stimuli.

Choice E rationale:

Cognitive therapy within CBT aims to challenge and modify cognitive distortions and unrealistic beliefs that underlie OCD. Individuals with OCD often have distorted thought patterns, such as catastrophic thinking or black-and-white reasoning. Cognitive therapy helps individuals recognize and reframe these distorted thoughts, leading to more adaptive and realistic thinking patterns.

Choice B rationale:

This choice is not accurate. CBT does not primarily focus on replacing distorted thoughts with unrealistic beliefs. Instead, it focuses on identifying and modifying irrational or negative thought patterns.

Choice D rationale:

While CBT does aim to enhance positive emotional outcomes, this choice is not entirely accurate in describing the main goal of CBT for OCD. The primary goal of CBT is to reduce the symptoms and distress associated with obsessions and compulsions by addressing the cognitive and behavioral factors that maintain the disorder.

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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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(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.

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 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?

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

A nurse is assessing a client with obsessive-compulsive disorder (OCD) The client reports that they have been having recurrent thoughts about contamination. Which of the following is the most appropriate nursing diagnosis for this client?

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 nurse is caring for a client with OCD who is refusing to leave their room because they are afraid of contamination. Which of the following interventions should the nurse prioritize?

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 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?