(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?
Administering pain medication.
Providing emotional support.
Teaching relaxation techniques.
Assisting with physical therapy exercises.
Educating about nutrition.
Correct Answer : B,C,E
Choice A rationale:
Administering pain medication is not a relevant intervention for a patient with obsessive-compulsive disorder (OCD) OCD is a mental health disorder characterized by obsessions and compulsions, and administering pain medication would not address the core symptoms or needs of these patients.
Choice B rationale:
Providing emotional support is a valid intervention for a patient with OCD. Individuals with OCD often experience high levels of anxiety and distress due to their obsessive thoughts and compulsive behaviors. Offering emotional support can help the patient feel understood and less isolated, contributing to their overall well-being.
Choice C rationale:
Teaching relaxation techniques is also appropriate for patients with OCD. Relaxation techniques can help individuals manage their anxiety and stress, which are common features of OCD. These techniques, when incorporated into the patient's coping strategies, can contribute to reducing the severity of their symptoms.
Choice D rationale:
Assisting with physical therapy exercises is not directly relevant to the care of a patient with OCD. OCD primarily involves psychological and behavioral symptoms, and physical therapy exercises would not directly address the core concerns of these patients.
Choice E rationale:
Educating about nutrition is not a priority intervention for OCD patients. While maintaining overall health is important, nutritional education is not a central component of managing obsessive-compulsive disorder.
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Correct Answer is C
Explanation
Choice A rationale:
Encouraging the client to "talk about their fears" might be a beneficial intervention in some cases, but for individuals with OCD who are struggling with compulsive behaviors driven by their fears, directly addressing exposure to those fears is a more effective approach.
Choice B rationale:
While setting limits on the client's behavior is important, it may not be the priority in this situation. Instead, assisting the client in gradually confronting their fears through exposure therapy can help them develop healthier coping mechanisms.
Choice C rationale:
The correct response emphasizes gradual exposure therapy, a well-established approach in treating OCD. This intervention helps the client confront their fears in a controlled and systematic manner, leading to desensitization and reduction in their anxiety over time.
Choice D rationale:
Providing relaxation techniques can be helpful for managing anxiety, but for someone with OCD who is avoiding situations due to contamination fears, the primary intervention should focus on exposure therapy to address the specific OCD-related fears.
Correct Answer is ["C","D"]
Explanation
Choice C rationale:
Risperidone is an atypical antipsychotic medication that is sometimes used as an augmentation strategy in treating OCD, particularly in cases where there are prominent obsessive-compulsive symptoms that are not well-controlled by other interventions. However, it's important to note that risperidone's use in OCD is off-label, meaning it's not approved by regulatory agencies specifically for OCD treatment.
Choice D rationale:
Selective serotonin reuptake inhibitors (SSRIs) are a cornerstone of pharmacological treatment for OCD. These medications, such as fluoxetine, sertraline, and fluvoxamine, increase the availability of serotonin in the brain and help alleviate obsessive-compulsive symptoms. They have been extensively studied and are considered first-line treatment options.
Choice A rationale:
Venlafaxine is a serotonin-norepinephrine reuptake inhibitor (SNRI) commonly used to treat depression and anxiety disorders. While it may have some benefit for anxiety symptoms, including those related to OCD, it is not considered a first-line treatment for OCD. SSRIs have shown greater efficacy for OCD management.
Choice B rationale:
Tricyclic antidepressants (TCAs) were among the first medications used to treat OCD. However, their side effect profiles and the availability of more effective and better-tolerated options, such as SSRIs, have led to TCAs being used less frequently for OCD treatment.
Choice E rationale:
Dopamine agonists are not commonly used for OCD treatment. In fact, they can potentially exacerbate symptoms, as imbalances in dopamine transmission are implicated in the pathophysiology of OCD. Using dopamine agonists without a clear rationale could worsen the condition.
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