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 C

Explanation

Choice A rationale:

Illness anxiety disorder. Illness anxiety disorder, formerly known as hypochondriasis, is characterized by excessive worry about having a serious illness despite having no or mild medical symptoms. This disorder primarily involves excessive health-related anxiety and preoccupation with the idea of having a severe illness. It is not associated with physical symptoms causing distress and impairment in daily life, as described in the question.

Choice B rationale:

Conversion disorder. Conversion disorder, also known as functional neurological symptom disorder, is characterized by the presence of neurological symptoms that cannot be explained by a medical condition. These symptoms are not intentionally produced and often involve motor or sensory deficits. In this disorder, there is a disconnection between psychological distress and physical symptoms, but it does not involve chronic physical symptoms or the intentional production of symptoms, as mentioned in the question.

Choice D rationale:

Factitious disorder. Factitious disorder involves intentional production of physical or psychological symptoms to assume the role of a sick person. People with this disorder often seek medical attention, and they may even harm themselves to create symptoms. However, factitious disorder does not fully explain the chronic physical symptoms that the client in the question is experiencing. This disorder is more about the intentional creation of symptoms rather than distress from chronic physical symptoms. Now, let's move on to the next question.

A. Bowel sounds. B. Blood pressure. C. Oxygen saturation. D. Pupil response.

Correct Answer is B

Explanation

The correct answer is choice B. Blood pressure.

Choice A rationale:

Bowel sounds. While assessing bowel sounds can be a part of a comprehensive physical assessment, it is not directly related to the interaction between phenelzine and pepperoni pizza. Phenelzine is a monoamine oxidase inhibitor (MAOI) used to treat depression. It does not have a known interaction with the digestive system that would necessitate monitoring bowel sounds after eating pepperoni pizza.

Choice B rationale:

Blood pressure. This is the correct choice. Phenelzine can interact with tyramine, a substance found in certain foods like pepperoni. This interaction can lead to a hypertensive crisis, a sudden and severe increase in blood pressure. Therefore, after the client reports eating pepperoni pizza, the nurse should assess the client’s blood pressure to monitor for this potential reaction.

Choice C rationale:

Oxygen saturation. While oxygen saturation is an important vital sign, it is not directly affected by the interaction between phenelzine and pepperoni pizza. Therefore, it would not be the most relevant assessment in this situation.

Choice D rationale:

Pupil response. Pupil response can be an indicator of neurological status, but it is not directly related to the interaction between phenelzine and pepperoni pizza. Therefore, it would not be the most relevant assessment in this situation.

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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 exhibits chronic physical symptoms that cannot be fully explained by medical conditions.These symptoms cause distress and impairment in the client's daily life.What term is used to describe this condition?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

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?

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A nurse in a mental health facility is making plans for a client's discharge.Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement?

A nurse is leading a critical incident stress debriefing with a group of staff members following a mass trauma incident.Which of the following interventions should the nurse take first?

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.).

A nurse is receiving change-of-shift report for four clients.Which of the following clients should the nurse see first?

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 caring for a client who has bipolar disorder and is refusing to take prescribed medications.Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?