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:
Telling the client to ignore the intrusive thoughts is not a therapeutic response. It dismisses the client's concerns and offers no constructive help in managing their distressing thoughts.
Choice B rationale:
Stating that intrusive thoughts are a normal part of everyone's thinking might invalidate the client's distress and does not provide practical strategies for dealing with their OCD symptoms.
Choice C rationale:
This is the correct choice. Acknowledging the client's concerns and offering to work on strategies to manage the thoughts is a therapeutic response. Collaboratively addressing the issue empowers the client to take an active role in their treatment.
Choice D rationale:
Dismissing the client's worries by saying there's no need to worry about the thoughts undermines their feelings and doesn't address the distress caused by the thoughts.
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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