A client with OCD expresses concerns about their medication. Which statement by the client indicates a need for further education?

"I'm going to take my medication only when I feel anxious.”

"I should report any side effects to my doctor.”

"It's important to continue taking my medication even if I start feeling better.”

"I'll stop taking my medication if I experience any discomfort.”

Answer and Explanation

The Correct Answer is A

Choice A rationale:

This statement indicates a need for further education. For medications used to treat OCD, consistent and regular dosing is important for their effectiveness. Taking medication only when feeling anxious could lead to inconsistent blood levels of the medication, potentially diminishing its therapeutic effects.

Choice B rationale:

The statement "I should report any side effects to my doctor" is accurate and does not indicate a need for further education. Reporting side effects to the doctor is a responsible and informed approach to medication management.

Choice C rationale:

The statement "It's important to continue taking my medication even if I start feeling better" is correct. Often, individuals with OCD may experience improvement in symptoms but need to continue the medication regimen to maintain the positive effects and prevent relapse.

Choice D rationale:

The statement "I'll stop taking my medication if I experience any discomfort" indicates a need for further education. Discomfort is a broad term that could encompass various mild side effects or adjustments that might be necessary when starting a new medication. It's important not to discontinue medication abruptly without consulting a healthcare provider.

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Correct Answer is B

Explanation

Choice A rationale:

Telling the client "It's okay, you don't have to wash your hands" might invalidate the client's feelings and fears, leading to increased anxiety. The client's compulsion to wash their hands is driven by their obsessive thoughts, and dismissing this behavior can be counterproductive.

Choice B rationale:

The correct response acknowledges the client's anxiety and opens a conversation about their feelings. This approach helps build a therapeutic relationship and provides an opportunity for the client to express their concerns. It's essential to address the underlying anxieties associated with OCD to promote better coping strategies.

Choice C rationale:

Telling the client to "calm down and stop thinking about washing your hands" oversimplifies the situation. People with OCD often struggle with controlling their obsessive thoughts and compulsions, and such a directive can be ineffective and frustrating for the client.

Choice D rationale:

Offering to "help you wash your hands" reinforces the client's compulsion rather than addressing the root cause of their anxiety. Enabling their compulsive behavior can contribute to the maintenance of their OCD symptoms.

A. "You need to stop these behaviors immediately to overcome your disorder.” B. "Try to distract yourself whenever you feel the urge to perform a compulsion.” C. "It's important to give in to your compulsions to relieve your anxiety.” D. "Let's work together to develop strategies to gradually reduce these behaviors over time.”

Correct Answer is D

Explanation

Choice A rationale:

The nurse should not tell the client to stop their behaviors immediately, as this approach is likely to increase anxiety and distress. Individuals with obsessive-compulsive disorder (OCD) often find it challenging to abruptly stop their compulsions, and attempting to do so can lead to heightened anxiety.

Choice B rationale:

Distracting oneself from the urge to perform compulsions might provide temporary relief, but it does not address the underlying issues of OCD. It is essential to work on strategies that target the reduction of compulsions and the management of anxiety associated with them.

Choice C rationale:

Giving in to compulsions might temporarily relieve anxiety, but it reinforces the cycle of OCD behavior. Encouraging the client to give in to compulsions is counterproductive to the treatment of OCD, which involves breaking the pattern of compulsive behavior.

Choice D rationale:

This is the correct choice. Collaboratively developing strategies to gradually reduce compulsive behaviors is a standard approach in treating OCD. This method is aligned with exposure and response prevention therapy, a well-established treatment for OCD. By gradually facing the situations that trigger obsessive thoughts and then refraining from performing compulsions, clients can learn to manage their anxiety and reduce their reliance on compulsive behaviors.

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A client with OCD expresses concerns about their medication. Which statement by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is D

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 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?

(Select All That Apply):. A nurse is teaching a group of patients about pharmacological interventions for OCDs. Which medications are commonly used to treat OCDs? Select all that apply.

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

A nurse is educating a group of nursing students about the differential diagnosis of obsessive-compulsive disorders (OCDs) in comparison to other mental disorders. Which factor helps differentiate OCDs from other mental disorders?

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.