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?
The medication's ability to enhance positive emotional outcomes.
The client's desire to eliminate all obsessions and compulsions immediately.
The potential for medication to target ego-syntonic obsessions and compulsions.
The type and severity of OCD, along with the client's preferences and tolerance.
The Correct Answer is D
Choice D rationale:
The type and severity of OCD, along with the client's preferences and tolerance, are key factors that influence the choice of medication for treating OCD. OCD symptoms can vary widely between individuals, and different medications may be more effective for specific symptom profiles. Additionally, the severity of symptoms and potential side effects of medications should be carefully considered. Client preferences and tolerances play a crucial role in treatment adherence and success. Collaborative decision-making between the client and healthcare provider ensures that the chosen medication aligns with the individual's needs and goals.
Choice A rationale:
While enhancing positive emotional outcomes is a desired effect of treatment, it's not a direct factor that influences the choice of medication for treating OCD. The choice of medication is primarily based on its mechanism of action and its demonstrated efficacy in targeting OCD symptoms.
Choice B rationale:
Completely eliminating all obsessions and compulsions immediately is often not a realistic expectation for OCD treatment. Medications and psychotherapeutic approaches aim to reduce the severity and frequency of symptoms, improve overall functioning, and enhance quality of life.
Choice C rationale:
Ego-syntonic obsessions and compulsions are those that are consistent with the individual's sense of self and values, making them less distressing and more difficult to recognize as irrational. While addressing ego-syntonic symptoms is important, this factor alone does not dictate the choice of medication. The overall symptom profile and the medication's mechanism of action are more influential factors.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The limbic circuit consisting of the hippocampus, amygdala, and hypothalamus is not the main brain circuit involved in obsessive-compulsive disorders (OCDs) The limbic circuit is more closely associated with emotions and memory, rather than the cognitive processes that drive OCD symptoms.
Choice B rationale:
The central executive circuit comprising the prefrontal cortex and temporal lobes is responsible for higher-level cognitive functions like decision-making and working memory. However, this circuit is not primarily implicated in the pathophysiology of OCD.
Choice C rationale:
The correct choice. The cortico-striato-thalamo-cortical (CSTC) circuit plays a central role in the development of OCD. This circuit involves several key components: Orbitofrontal cortex: Responsible for assessing potential risks and rewards, and for decision-making. Anterior cingulate cortex: Involved in error detection, emotional processing, and regulating cognitive flexibility. Striatum: Responsible for habit formation and reward-based learning. Thalamus: Acts as a relay station for information between various brain regions. This circuit's malfunction can lead to repetitive behaviors and intrusive thoughts characteristic of OCD.
Choice D rationale:
The ventral tegmental circuit involving the substantia nigra and ventral tegmental area is primarily associated with the brain's reward system and the regulation of mood and motivation. It is not a key player in OCD's pathophysiology.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
While fear of heights and open spaces leading to avoidance behaviors can be associated with anxiety disorders, it is not a typical theme for obsessions and compulsions in individuals with OCD. OCD themes usually revolve around repetitive thoughts and behaviors that aim to alleviate distress or prevent feared outcomes.
Choice B rationale:
The repeated checking of the stove being turned off before leaving the house is a common obsession and compulsion in individuals with OCD. This behavior stems from the fear of potential harm or danger (e.g., fire) and the compulsive act of checking is performed to reduce anxiety related to the obsession.
Choice C rationale:
Feeling the need to touch every object in a room an equal number of times is another manifestation of OCD. This behavior is driven by the obsession of achieving symmetry, balance, or a sense of completeness through compulsive rituals like touching.
Choice D rationale:
Persistent worry about a loved one's safety causing ritualistic prayers is also a theme seen in OCD. Individuals may feel compelled to engage in repetitive prayers or rituals to protect their loved ones from harm due to their obsessive fears.
Choice E rationale:
The strong desire to organize items by color, shape, and size is more indicative of perfectionism or certain personality traits rather than a typical theme in OCD. OCD usually involves distressing and unwanted thoughts (obsessions) and the corresponding rituals or repetitive behaviors (compulsions) aimed at reducing the distress.
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