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

"Medication will provide immediate relief from all symptoms.”

"Medication can help modify your self-image and values.”

"Medication may reduce the severity of your obsessions and compulsions.”

"Medication will eliminate the need for any psychotherapeutic interventions.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The statement that medication will provide immediate relief from all symptoms is an overgeneralization. While medication can help alleviate symptoms, the relief might not be immediate and might not cover all symptoms comprehensively.

Choice B rationale:

Medication modifying self-image and values is not a recognized benefit of pharmacological treatment for OCD. This choice does not align with the established mechanisms of action of the medications used for OCD.

Choice C rationale:

The correct answer. Medication's potential to reduce the severity of obsessions and compulsions is a relevant benefit to highlight. While it might not eliminate symptoms entirely, it can make them more manageable and improve the individual's overall quality of life.

Choice D rationale:

The statement that medication will eliminate the need for any psychotherapeutic interventions is overly optimistic. A comprehensive treatment approach for OCD often includes a combination of medication and psychotherapy for optimal results.

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Correct Answer is C

Explanation

Choice A rationale:

Discarding possessions easily, regardless of their value, is not characteristic of hoarding disorder. Hoarding disorder involves the persistent difficulty in parting with possessions, even if they have little value, due to the emotional attachment individuals feel toward these items.

Choice B rationale:

Accumulating possessions without any emotional attachment is not indicative of hoarding disorder. In hoarding disorder, emotional attachment to possessions is a hallmark feature, and individuals often experience distress at the thought of discarding items.

Choice C rationale:

This is the correct choice. Hoarding disorder is characterized by the strong need to save items, regardless of their practical value, and the significant distress experienced when attempting to discard them. This behavior leads to the accumulation of possessions and can result in living spaces becoming cluttered and uninhabitable.

Choice D rationale:

Organizing possessions meticulously to maintain a clutter-free environment is not consistent with hoarding disorder. People with hoarding disorder struggle with organization and often have difficulty maintaining clutter-free spaces due to the accumulation of possessions.

A. "I always arrange my books on the shelf from tallest to shortest.” B. "I feel an overwhelming urge to wash my hands every 30 minutes.” C. "I have a ritual of counting to 10 before entering any room.” D. "I keep having thoughts that my family will get hurt if I don't touch the doorknob three times.”

Correct Answer is D

Explanation

Choice A rationale:

The statement "I always arrange my books on the shelf from tallest to shortest" doesn't indicate an obsession. This behavior might suggest a preference for orderliness or arranging things systematically, but it lacks the distressing, unwanted nature of obsessions.

Choice B rationale:

"I feel an overwhelming urge to wash my hands every 30 minutes" indicates a compulsion rather than an obsession. The urge to wash hands frequently is driven by the need to alleviate anxiety or distress, which is the hallmark of compulsive behaviors.

Choice C rationale:

"I have a ritual of counting to 10 before entering any room" is also a compulsion. The ritual of counting serves as a way to reduce anxiety or prevent a feared outcome associated with entering a room, suggesting a compulsive behavior.

Choice D rationale:

The statement "I keep having thoughts that my family will get hurt if I don't touch the doorknob three times" reflects an obsession. The distressing thought of family harm is the unwanted obsession, and the ritual of touching the doorknob three times is the compulsion aimed at reducing the anxiety caused by the obsession.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A nurse is assessing a client who has been diagnosed with obsessive-compulsive disorder (OCD) Which statement by the client indicates an obsession?

Correct Answer is D

Explanation

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.

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?

(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 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?

A nurse is caring for a client with OCD who is taking a selective serotonin reuptake inhibitor (SSRI) The client reports that they are having difficulty sleeping. Which of the following interventions should the nurse recommend?

(Select all that apply):. A nurse is caring for a client with an eating disorder. What responsibilities should the nurse collaborate on with the multidisciplinary team? (Choose three.)

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?