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

Choice A rationale:

The statement that higher medication doses are needed to quickly suppress all obsessive thoughts and compulsive behaviors is not accurate. Medication dosages are adjusted based on individual response and tolerability, and the goal is not necessarily to use the highest dose possible.

Choice B rationale:

The correct answer. Starting with a low dose is a common practice in psychiatric medication management. This helps the body adjust to the medication gradually, reducing the likelihood and severity of side effects. As the body becomes accustomed to the medication, the dose can be gradually increased to achieve the desired therapeutic effect.

Choice C rationale:

The goal of achieving complete relief from obsessions and compulsions within a few days is an unrealistic expectation. Psychiatric medications typically require time to take effect, often several weeks, and complete relief might not occur for all individuals.

Choice D rationale:

Choice A rationale:

Sharing patient information without consent violates patient privacy and confidentiality. This goes against ethical and legal standards in healthcare.

Choice B rationale:

This is a correct choice. Communicating treatment progress to the healthcare team ensures everyone is informed and can provide coordinated care. Collaboration and information sharing are important for comprehensive patient management.

Choice C rationale:

Referring the patient to support groups is a collaborative action that can provide additional avenues of help and coping strategies. Support groups can offer a sense of community and understanding among individuals facing similar challenges.

Choice D rationale:

Excluding the patient from treatment decisions contradicts patient-centered care and shared decision-making principles. Collaboration involves involving the patient in their own care.

Choice E rationale:

Coordinating medication adjustments is a collaborative action as medications are often managed by healthcare professionals such as doctors or nurse practitioners. Adjustments should be made collectively to ensure the best outcome for the patient.