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?

"You should ignore these thoughts; they will eventually go away.”

"Intrusive thoughts are a normal part of everyone's thinking.”

"Let's work on strategies to manage these thoughts and reduce their impact.”

"There's no need to worry about these thoughts; they won't affect you.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Telling the client to ignore the intrusive thoughts is not a therapeutic response. It dismisses the client's concerns and offers no constructive help in managing their distressing thoughts.

Choice B rationale:

Stating that intrusive thoughts are a normal part of everyone's thinking might invalidate the client's distress and does not provide practical strategies for dealing with their OCD symptoms.

Choice C rationale:

This is the correct choice. Acknowledging the client's concerns and offering to work on strategies to manage the thoughts is a therapeutic response. Collaboratively addressing the issue empowers the client to take an active role in their treatment.

Choice D rationale:

Dismissing the client's worries by saying there's no need to worry about the thoughts undermines their feelings and doesn't address the distress caused by the thoughts.

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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.

A. The client's obsessions and compulsions are consistent with their self-image. B. The client engages in compulsions to achieve pleasurable outcomes. C. The client's obsessions and compulsions are not causing significant distress. D. The client recognizes that their obsessions and compulsions are irrational.

Correct Answer is D

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 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?

Correct Answer is D

Explanation

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

(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.

A nurse is assisting a patient with OCD in developing a hierarchy of feared stimuli for exposure therapy. Which statement by the nurse is appropriate during this process?

A nurse is caring for a client diagnosed with hoarding disorder. Which description accurately characterizes hoarding behavior?

A client with OCD is hesitant about taking medication. Which potential benefit of pharmacological treatment could the nurse emphasize to encourage the client?

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.

(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?