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

Explanation

Choice A rationale:

Individuals with borderline personality disorder often have difficulty establishing and maintaining boundaries. Providing consistent and clear boundaries helps in promoting a structured and safe environment for the client.

Choice B rationale:

Encouraging the use of countertransference is not appropriate. Countertransference refers to the therapist or nurse's emotional reactions to the client, and it is generally not encouraged as a therapeutic approach.

Choice C rationale:

Maintaining consistency in assigning healthcare staff for the client is essential in promoting stability and reducing anxiety. This is a crucial aspect of care for clients with borderline personality disorder.

Choice D rationale:

Demonstrating a sympathetic attitude is important in providing compassionate care, but it should be balanced with maintaining professional boundaries and not allowing manipulation by the client. Sympathy alone may not be sufficient in effectively managing the client's condition.

A. Offer prophylactic medication to prevent STIs. B. Provide a trained advocate to stay with the client. C. Conduct a pregnancy test. D. Request a mental health consultation for the client.

Correct Answer is B

Explanation

Choice A rationale:

Offering prophylactic medication to prevent STIs is an important intervention in cases of sexual assault; however, it is not the next immediate step. The priority at this stage is to ensure the client's safety and emotional support.

Choice B rationale:

Providing a trained advocate to stay with the client is the most appropriate and immediate action. This helps ensure the client's emotional well-being and provides support during a traumatic experience. Advocates can also help the client navigate the healthcare system and legal processes.

Choice C rationale:

Conducting a pregnancy test is important, but it is not the next immediate step. Safety and emotional support should be the priority.

Choice D rationale:

Requesting a mental health consultation for the client is important, but it should not be the next immediate action. Safety and support should come first.

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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 caring for a client who has borderline personality disorder.Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client in the emergency department who states that she was beaten and sexually assaulted by her partner.After a rapid assessment, which of the following actions should the nurse plan to take next?

Correct Answer is B

Explanation

A nurse is developing a behavioral contract with a client who has antisocial personality disorder.Which of the following client goals should the nurse include in the contract?

A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation.Which of the following assessment findings in the client's history should the nurse report to the provider?

A nurse in a provider's office is assessing a school-age child who has a spiral fracture.The parent of the child provides different accounts of the cause of the injury.Which of the following actions should the nurse take first?

A nurse is reviewing the medical record of a client who is to begin taking aripiprazole.The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?

A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?

A nurse is assessing a patient with major depressive disorder (MDD). Which assessment tool can the nurse use to measure the severity and impact of depression on the patient’s functioning?

A nurse is assessing a client who has a history of substance use disorder and states, "People are out to get me.”. The client has tachycardia and hypertension.The nurse should suspect acute toxicity of which of the following substances?