A nurse is caring for a client with OCD who is experiencing an anxiety attack. The client is saying, "I have to wash my hands! I have to wash my hands!" Which of the following responses should the nurse make?

"It's okay, you don't have to wash your hands.”

"I understand that you're feeling anxious. Let's talk about what's going on.”

"You need to calm down and stop thinking about washing your hands.”

"I'll help you wash your hands.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Telling the client "It's okay, you don't have to wash your hands" might invalidate the client's feelings and fears, leading to increased anxiety. The client's compulsion to wash their hands is driven by their obsessive thoughts, and dismissing this behavior can be counterproductive.

Choice B rationale:

The correct response acknowledges the client's anxiety and opens a conversation about their feelings. This approach helps build a therapeutic relationship and provides an opportunity for the client to express their concerns. It's essential to address the underlying anxieties associated with OCD to promote better coping strategies.

Choice C rationale:

Telling the client to "calm down and stop thinking about washing your hands" oversimplifies the situation. People with OCD often struggle with controlling their obsessive thoughts and compulsions, and such a directive can be ineffective and frustrating for the client.

Choice D rationale:

Offering to "help you wash your hands" reinforces the client's compulsion rather than addressing the root cause of their anxiety. Enabling their compulsive behavior can contribute to the maintenance of their OCD symptoms.

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Correct Answer is D

Explanation

Choice A rationale:

The observation that the client's obsessions and compulsions are consistent with their self-image would not necessarily support the diagnosis of OCD. This could be applicable to other mental disorders as well, where the symptoms align with the individual's self-concept.

Choice B rationale:

If the client engages in compulsions to achieve pleasurable outcomes, this might suggest a different perspective. OCD compulsions are typically performed to alleviate distress or prevent a feared event, not for achieving pleasure.

Choice C rationale:

If the client's obsessions and compulsions are not causing significant distress, this could point towards other disorders or even potentially normal behavior. OCD is characterized by the distress caused by the obsessions and the urge to perform compulsions to alleviate this distress.

Choice D rationale:

The correct answer. In OCD, individuals are aware that their obsessions and compulsions are irrational and excessive. This self-awareness differentiates OCD from other disorders where the beliefs and behaviors might be seen as reasonable by the individual.

A. Administering pain medication. B. Providing emotional support. C. Teaching relaxation techniques. D. Assisting with physical therapy exercises. E. Educating about nutrition.

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale:

Administering pain medication is not a relevant intervention for a patient with obsessive-compulsive disorder (OCD) OCD is a mental health disorder characterized by obsessions and compulsions, and administering pain medication would not address the core symptoms or needs of these patients.

Choice B rationale:

Providing emotional support is a valid intervention for a patient with OCD. Individuals with OCD often experience high levels of anxiety and distress due to their obsessive thoughts and compulsive behaviors. Offering emotional support can help the patient feel understood and less isolated, contributing to their overall well-being.

Choice C rationale:

Teaching relaxation techniques is also appropriate for patients with OCD. Relaxation techniques can help individuals manage their anxiety and stress, which are common features of OCD. These techniques, when incorporated into the patient's coping strategies, can contribute to reducing the severity of their symptoms.

Choice D rationale:

Assisting with physical therapy exercises is not directly relevant to the care of a patient with OCD. OCD primarily involves psychological and behavioral symptoms, and physical therapy exercises would not directly address the core concerns of these patients.

Choice E rationale:

Educating about nutrition is not a priority intervention for OCD patients. While maintaining overall health is important, nutritional education is not a central component of managing obsessive-compulsive disorder.

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A nurse is caring for a client with OCD who is experiencing an anxiety attack. The client is saying, "I have to wash my hands! I have to wash my hands!" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being evaluated for potential OCD. The nurse explains the differential diagnosis process. Which observation supports the diagnosis of OCD rather than another mental disorder?

Correct Answer is D

Explanation

(Select all that apply) A nurse is implementing interventions for a patient with OCD based on the Nursing Interventions Classification (NIC) Which interventions would the nurse include for this patient?

Correct Answer is ["B","C","E"]

Explanation

A nurse is explaining the diagnostic criteria for obsessive-compulsive disorder (OCD) to a group of nursing students. Which of the following statements accurately reflects one of the criteria for diagnosing OCD?

(Select all that apply). A client with OCD is experiencing impaired self-esteem due to their obsessions and compulsions. Which actions should the nurse take to promote the client's self-esteem?

(Select All That Apply):. A nurse is assessing a group of clients for their understanding of treatment approaches for OCDs. Which options accurately describe cognitive-behavioral therapy (CBT) and its components? Select all that apply.

(Select all that apply):. A nurse is caring for a client with an eating disorder. What responsibilities should the nurse collaborate on with the multidisciplinary team? (Choose three.)

A nurse is providing care for a client with obsessive-compulsive disorder (OCD) Which statement by the nurse would be most appropriate in this situation?

A nurse is educating a client who has been diagnosed with various types of obsessive-compulsive disorders (OCDs) Select all the themes that can categorize obsessions and compulsions in individuals with OCD.

A client with OCD is telling the nurse about their symptoms. Which of the following statements is most likely made by the client?

(Select All That Apply):. A nurse is teaching a group of patients about pharmacological interventions for OCDs. Which medications are commonly used to treat OCDs? Select all that apply.