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.

"I feel really sad sometimes because I'm overweight.”

"I often compare my appearance to that of celebrities.”

"I spend hours each day in front of the mirror, checking my face.”

"I avoid social situations because I think everyone is staring at my flaws.”

Answer and Explanation

Correct Answer : B,D

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.

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Correct Answer is B

Explanation

Choice A rationale:

Teaching the client about the history of OCD might provide insight into the disorder's background, but it is not the priority when the client is currently experiencing distress. Addressing the immediate distress takes precedence over historical information.

Choice B rationale:

This choice is correct because relaxation techniques can help alleviate the client's distress in the moment. These techniques, such as deep breathing, progressive muscle relaxation, or mindfulness exercises, can help the client manage their anxiety and reduce the impact of obsessive thoughts.

Choice C rationale:

While providing information about medication options is important, it might not be the initial intervention when the client is in a state of distress. Medication discussions are typically part of a comprehensive treatment plan and should be addressed after addressing the client's immediate distress.

Choice D rationale:

Initiating exposure therapy sessions might exacerbate the client's distress at this point. Exposure therapy involves deliberately confronting feared situations, and it's important to prepare the client for this type of intervention before initiating it. Starting with relaxation techniques is a more appropriate approach.

A. Encourage the client to talk about their fears. B. Set limits on the client's behavior. C. Assist the client in gradual exposure to feared situations. D. Provide the client with relaxation techniques.

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.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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 discussing pharmacological interventions for treating OCDs with a group of patients. Which statement accurately describes the role of selective serotonin reuptake inhibitors (SSRIs) in OCD treatment?

(Select all that apply) A nurse is collaborating with other healthcare professionals to provide comprehensive care for a patient with OCD. Which actions should the nurse take as part of this collaboration?

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 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 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 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 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?