A client with OCD is telling the nurse about their symptoms. Which of the following statements is most likely made by the client?

"I have to check the locks on the door 10 times before I can leave my house.”

"I'm afraid that I'm going to get sick if I don't wash my hands every 15 minutes.”

"I think I'm going crazy because I keep thinking about these things.”

"I'm not sure if I'm really sick or if I'm just imagining it.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The statement "I have to check the locks on the door 10 times before I can leave my house" is indicative of checking compulsions often seen in OCD. This involves repetitive behaviors performed to reduce distress, such as checking locks multiple times. However, this choice is less likely because it focuses on checking rather than washing.

Choice B rationale:

The correct answer. This statement reflects a common manifestation of OCD, specifically contamination-related obsessions and cleaning compulsions. The client's fear of getting sick from not washing their hands is a classic example of obsessive thoughts leading to repetitive behaviors aimed at reducing anxiety.

Choice C rationale:

The statement "I think I'm going crazy because I keep thinking about these things" indicates the presence of intrusive and distressing thoughts, which are characteristic of OCD. However, this choice does not encompass the compulsive behaviors that are essential for an OCD diagnosis. It primarily highlights the emotional distress associated with the thoughts.

Choice D rationale:

The statement "I'm not sure if I'm really sick or if I'm just imagining it" suggests uncertainty and doubt, which are common features of OCD. However, this choice does not emphasize the typical compulsions that accompany OCD. It focuses more on self-doubt rather than specific ritualistic behaviors.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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. "Medication will provide immediate relief from all symptoms.” B. "Medication can help modify your self-image and values.” C. "Medication may reduce the severity of your obsessions and compulsions.” D. "Medication will eliminate the need for any psychotherapeutic interventions.”

Correct Answer is C

Explanation

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.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client with OCD is telling the nurse about their symptoms. Which of the following statements is most likely made by the client?

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

Correct Answer is C

Explanation

(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 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?

(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 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?

(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.)

(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?

(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.