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

Teaching the client about the history of OCD.

Assisting the client with relaxation techniques.

Providing information about medication options.

Initiating exposure therapy sessions.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

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 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 nurse is implementing interventions for a patient with OCD based on the Nursing Interventions Classification (NIC) Which interventions would the nurse include for this patient?

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?

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?

(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?

A nurse is providing care to a client with trichotillomania (hair-pulling disorder) What intervention would be most appropriate to include in the client's care plan?

A nurse is explaining the diagnostic criteria for obsessive-compulsive disorder (OCD) to a group of nursing students. Which of the following statements accurately reflects one of the criteria for diagnosing OCD?

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?