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?

The client's obsessions and compulsions are consistent with their self-image.

The client engages in compulsions to achieve pleasurable outcomes.

The client's obsessions and compulsions are not causing significant distress.

The client recognizes that their obsessions and compulsions are irrational.

Answer and Explanation

The Correct Answer is D

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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Correct Answer is C

Explanation

Choice A rationale:

Blood pressure regulation is not directly related to the outcomes for patients with obsessive-compulsive disorder (OCD) OCD primarily involves persistent, unwanted thoughts and repetitive behaviors, and blood pressure regulation is not a priority outcome for this condition.

Choice B rationale:

Pain management is also not relevant to the outcomes of patients with OCD. OCD doesn't cause physical pain, so pain management interventions would not be included in the Nursing Outcomes Classification (NOC) for OCD patients.

Choice C rationale:

Coping and self-esteem improvement is the correct choice. Individuals with OCD often struggle with managing their distressing thoughts and compulsive behaviors. Improving coping mechanisms and enhancing self-esteem are important goals in the care of these patients. The NOC would include outcomes related to helping patients develop healthier ways of managing their thoughts and behaviors, thereby improving their overall quality of life.

Choice D rationale:

Respiratory function optimization is unrelated to the outcomes of patients with OCD. This outcome is more relevant to conditions affecting the respiratory system, such as asthma or chronic obstructive pulmonary disease (COPD), and not to OCD.

A. "OCD is caused solely by genetic factors.” B. "Exposure therapy is not effective for treating OCD.” C. "SSRIs are commonly used medications for OCD.” D. "CBT is not recommended for treating OCD.”

Correct Answer is C

Explanation

Choice A rationale:

While genetic factors can contribute to the development of OCD, stating that it is solely caused by genetic factors oversimplifies the etiology. OCD is a complex disorder with multiple factors, including genetic, neurobiological, cognitive, and environmental influences.

Choice B rationale:

This statement is incorrect. Exposure therapy is a highly effective treatment for OCD. It involves controlled and systematic exposure to feared stimuli, which helps individuals reduce their anxiety responses over time.

Choice C rationale:

This choice is correct because selective serotonin reuptake inhibitors (SSRIs) are indeed commonly used as a first-line pharmacological treatment for OCD. These medications help regulate serotonin levels in the brain, which can reduce the frequency and intensity of obsessions and compulsions.

Choice D rationale:

Cognitive-behavioral therapy (CBT) is actually recommended as one of the most effective treatments for OCD. CBT, including exposure and response prevention, helps individuals learn to manage their symptoms by changing maladaptive thought patterns and behaviors associated with OCD. Therefore, stating that CBT is not recommended is inaccurate.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is educating a group of patients with OCD about their condition. Which information should the nurse include in the education session?

Correct Answer is C

Explanation

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?

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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 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?

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

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?

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?