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 B

Explanation

Choice A rationale:

The statement "I have to check the locks on the door 10 times before I can leave my house" is indicative of checking compulsions often seen in OCD. This involves repetitive behaviors performed to reduce distress, such as checking locks multiple times. However, this choice is less likely because it focuses on checking rather than washing.

Choice B rationale:

The correct answer. This statement reflects a common manifestation of OCD, specifically contamination-related obsessions and cleaning compulsions. The client's fear of getting sick from not washing their hands is a classic example of obsessive thoughts leading to repetitive behaviors aimed at reducing anxiety.

Choice C rationale:

The statement "I think I'm going crazy because I keep thinking about these things" indicates the presence of intrusive and distressing thoughts, which are characteristic of OCD. However, this choice does not encompass the compulsive behaviors that are essential for an OCD diagnosis. It primarily highlights the emotional distress associated with the thoughts.

Choice D rationale:

The statement "I'm not sure if I'm really sick or if I'm just imagining it" suggests uncertainty and doubt, which are common features of OCD. However, this choice does not emphasize the typical compulsions that accompany OCD. It focuses more on self-doubt rather than specific ritualistic behaviors.

A. Family history of OCD. B. History of childhood trauma. C. Head injury. D. Brain tumor.

Correct Answer is A

Explanation

Choice A rationale:

Family history of OCD is a significant risk factor for developing the disorder. Genetic predisposition plays a role in the etiology of OCD, with a higher likelihood of the disorder occurring in individuals who have close relatives (e.g., parents or siblings) with the condition. While environmental factors and life experiences can contribute to OCD, they are not as directly linked as the genetic component.

Choice B rationale:

History of childhood trauma can contribute to the development of various mental health disorders, including anxiety and OCD. However, the strongest association with OCD is the genetic component. While childhood trauma can exacerbate symptoms in individuals who are genetically predisposed, it is not the most likely finding in the medical record of a client with OCD.

Choice C rationale:

Head injury can lead to neurological and psychological changes, potentially contributing to various psychiatric conditions. However, the primary cause of OCD is not head injury. It is important to consider the presence of other factors, especially the genetic predisposition, when attributing OCD to a particular cause.

Choice D rationale:

Brain tumor is an organic condition that can cause neurological and psychological symptoms. However, brain tumors are not a common or primary cause of OCD. The focus in the etiology of OCD is on neurotransmitter imbalances, genetic factors, and brain circuitry, rather than structural brain abnormalities like tumors.

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

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

A client with OCD is concerned about their intrusive thoughts and the impact on their daily life. How should the nurse respond to the client's concerns?

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?

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 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.

(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 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 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.

(Select all that apply). A client with OCD is experiencing impaired self-esteem due to their obsessions and compulsions. Which actions should the nurse take to promote the client's self-esteem?