A nurse is assessing a patient with obsessive-compulsive disorder (OCD) using the Nursing Outcomes Classification (NOC) Which of the following outcomes would the nurse expect to find in the NOC for patients with OCD?
Blood pressure regulation.
Pain management.
Coping and self-esteem improvement.
Respiratory function optimization.
The Correct Answer is C
Choice A rationale:
Blood pressure regulation is not directly related to the outcomes for patients with obsessive-compulsive disorder (OCD) OCD primarily involves persistent, unwanted thoughts and repetitive behaviors, and blood pressure regulation is not a priority outcome for this condition.
Choice B rationale:
Pain management is also not relevant to the outcomes of patients with OCD. OCD doesn't cause physical pain, so pain management interventions would not be included in the Nursing Outcomes Classification (NOC) for OCD patients.
Choice C rationale:
Coping and self-esteem improvement is the correct choice. Individuals with OCD often struggle with managing their distressing thoughts and compulsive behaviors. Improving coping mechanisms and enhancing self-esteem are important goals in the care of these patients. The NOC would include outcomes related to helping patients develop healthier ways of managing their thoughts and behaviors, thereby improving their overall quality of life.
Choice D rationale:
Respiratory function optimization is unrelated to the outcomes of patients with OCD. This outcome is more relevant to conditions affecting the respiratory system, such as asthma or chronic obstructive pulmonary disease (COPD), and not to OCD.
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Correct Answer is C
Explanation
Choice A rationale:
Teach the client relaxation techniques. While teaching relaxation techniques can be beneficial, it may not directly address the client's compulsion to wash their hands repeatedly. OCD involves managing distressing thoughts and compulsions through specific interventions.
Choice B rationale:
Encourage the client to talk about their thoughts and feelings. While promoting open communication is generally important, it may not be the most effective intervention for directly addressing the client's compulsion to wash their hands. OCD interventions often involve exposure and response prevention strategies.
Choice C rationale:
Assist the client in developing a hierarchy of feared situations. This is the correct answer. Helping the client develop a hierarchy of feared situations is a key intervention in addressing OCD. This approach is part of exposure and response prevention therapy, where clients gradually face their fears without engaging in compulsive behaviors.
Choice D rationale:
Praise the client for decreasing the frequency of handwashing. While positive reinforcement can be useful, it may not be the priority intervention for someone with OCD. The focus should be on structured interventions that challenge and reduce the compulsive behaviors over time.
Correct Answer is B
Explanation
Choice A rationale:
Impaired social interaction. This choice is not the most appropriate nursing diagnosis for a client with obsessive-compulsive disorder (OCD) experiencing recurrent thoughts about contamination. OCD primarily involves anxiety-driven behaviors and rituals rather than impaired social interaction.
Choice B rationale:
Anxiety. This is the correct answer. Given that the client is experiencing recurrent thoughts about contamination, the most appropriate nursing diagnosis is anxiety. OCD is characterized by intrusive thoughts and rituals driven by anxiety. Addressing the anxiety component is essential for effective treatment.
Choice C rationale:
Risk for self-harm. While individuals with severe OCD may experience distress, the given information does not indicate an immediate risk for self-harm. Anxiety is the more relevant issue in this scenario.
Choice D rationale:
Obsessive-compulsive disorder. This choice describes the client's condition rather than a nursing diagnosis. Nursing diagnoses are used to identify specific client problems that nurses can address through care and interventions.
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