A client with OCD is undergoing cognitive-behavioral therapy (CBT). The client asks the nurse, "How does exposure and response prevention work in treating OCD?" Which response by the nurse accurately explains this aspect of CBT?

"Exposure and response prevention involves avoiding the triggers that lead to obsessions and compulsions.”.

"During exposure and response prevention, you'll engage in the compulsive behaviors to reduce anxiety gradually.”.

"Exposure and response prevention helps you face the situations that trigger anxiety while preventing the compulsive behaviors.”.

"In exposure and response prevention, we eliminate all exposure to the situations that cause distress and anxiety.”. .

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Exposure and response prevention does not involve avoiding triggers that lead to obsessions and compulsions. It actually involves confronting these triggers to reduce their impact on the individual. Avoidance would not be an effective strategy in CBT for OCD.

Choice B rationale:

Engaging in compulsive behaviors to reduce anxiety is not the goal of exposure and response prevention. Instead, the therapy aims to help individuals resist engaging in these behaviors, allowing them to gradually reduce their anxiety over time.

Choice C rationale:

This is the correct answer. Exposure and response prevention in CBT for OCD involves facing situations that trigger anxiety while preventing the compulsive behaviors. This process helps individuals learn to tolerate the anxiety without resorting to compulsions, ultimately reducing the obsessions and compulsions' severity.

Choice D rationale:

Eliminating all exposure to distressing situations is not the goal of exposure and response prevention. The therapy aims to expose individuals to these situations in a controlled manner so they can learn to manage their anxiety and reduce compulsive behaviors. In exposure and response prevention, the key principle is to gradually expose the individual to situations that trigger their obsessions while simultaneously preventing the performance of compulsive behaviors. This approach allows the individual to confront their fears and anxiety, gradually reducing their sensitivity to these triggers.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale:

Monitoring signs of psychomotor agitation is an important aspect of assessing a patient with bipolar disorder. Psychomotor agitation is a common feature of bipolar disorder, and recognizing its signs can help in managing the patient's condition effectively.

Choice B rationale:

Assessing the patient's memory and attention is crucial in the assessment of bipolar disorder. It helps in evaluating cognitive function, which can be affected during manic or depressive episodes in bipolar disorder.

Choice C rationale:

Documenting the patient's medication history is essential when assessing a patient with bipolar disorder. Knowing the medications the patient is currently taking, as well as their medication history, is vital for understanding their treatment plan and ensuring the safe and effective management of the condition.

Choice D rationale:

Measuring vital signs and laboratory tests is an integral part of the physical assessment for a patient with bipolar disorder. Bipolar disorder can have physical health implications, and monitoring vital signs and conducting laboratory tests can help identify any underlying medical issues or side effects of medication.

Choice E rationale:

Observing signs of impaired judgment is another important aspect of assessing a patient with bipolar disorder. Impaired judgment can be a characteristic feature during manic episodes, and recognizing it is crucial for the safety and well-being of the patient.

A. Auditory hallucinations. B. Flight of ideas. C. Decreased motivation. D. Impaired memory.

Correct Answer is ["A","B"]

Explanation

Choice A rationale:

Auditory hallucinations are considered a positive symptom of schizophrenia. Positive symptoms are characterized by the presence of abnormal experiences or behaviors that are not typically present in individuals without schizophrenia. Auditory hallucinations involve hearing voices or sounds that are not real.

Choice B rationale:

Flight of ideas is a positive symptom of schizophrenia. It is characterized by a rapid and disorganized flow of thoughts, often leading to incoherent speech. This symptom is part of the formal thought disorder commonly seen in individuals with schizophrenia.

Choice C rationale:

Decreased motivation is not a positive symptom; it is considered a negative symptom of schizophrenia. Negative symptoms are characterized by a reduction or loss of normal functions or behaviors that are typically present in healthy individuals. Decreased motivation reflects a lack of interest, energy, or drive to engage in activities.

Choice D rationale:

Impaired memory is not a positive symptom but is more associated with cognitive deficits, which can be a part of schizophrenia, but it falls under cognitive symptoms rather than positive symptoms.

Choice E rationale:

Delusions of grandeur are positive symptoms of schizophrenia. Delusions are false beliefs that are firmly held despite evidence to the contrary. Delusions of grandeur involve a person having an exaggerated sense of self-importance or abilities. This is a classic positive symptom seen in schizophrenia. .

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A client with OCD is undergoing cognitive-behavioral therapy (CBT). The client asks the nurse, "How does exposure and response prevention work in treating OCD?" Which response by the nurse accurately explains this aspect of CBT?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with bipolar disorder.Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply:.

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms of schizophrenia? (Select all that apply.).

Correct Answer is ["A","B"]

Explanation

A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure.The client informs the nurse that they do not want to have the procedure.Which of the following actions should the nurse take?

A nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nurse take first?

A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?

A nurse is caring for a client who receives lamotrigine daily for bipolar disorder and reports a rash on his arm. Which of the following actions should the nurse take?

A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?

A nurse is providing teaching to a client who is prescribed methylphenidate for ADHD.Which of the following statements by the client indicates an accurate understanding of this medication's effects?

A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition. Which of the following is the appropriate nursing action?

A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?