A nurse is caring for a client with OCD who is receiving cognitive-behavioral therapy (CBT) Which of the following interventions is the nurse most likely to use?

Exposure and response prevention.

Systematic desensitization.

Flooding.

Thought stopping.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Exposure and response prevention is a cornerstone of cognitive-behavioral therapy (CBT) for OCD. It involves exposing the individual to anxiety-provoking situations (exposure) and then preventing the usual compulsive response that reduces anxiety (response prevention) This helps the individual learn that their feared outcomes are unlikely to occur and that their anxiety will diminish over time without engaging in rituals.

Choice B rationale:

Systematic desensitization is a technique used to treat phobias and anxiety disorders by gradually exposing the individual to their feared stimuli while teaching relaxation techniques. While it may have some applicability in OCD treatment, it is not as directly aligned with the core features of OCD as exposure and response prevention.

Choice C rationale:

Flooding is a therapeutic technique that involves exposing the individual to an extreme level of their fear in order to diminish the anxiety response over time. While this approach might be used in certain anxiety disorders, it is not typically the first-line intervention for OCD. Exposure and response prevention is a more gradual and controlled technique that is better suited for OCD treatment.

Choice D rationale:

Thought stopping involves interrupting obsessive thoughts by using cues or distractions. This technique is not as effective in treating OCD as exposure and response prevention, which directly addresses the connection between obsessions and compulsions. Thought stopping may not provide the individual with a comprehensive strategy for managing their OCD symptoms.

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Correct Answer is C

Explanation

Choice A rationale:

"Exposure and response prevention involves avoiding the triggers that lead to obsessions and compulsions." This statement is incorrect. Exposure and response prevention (ERP) in cognitive-behavioral therapy (CBT) for OCD involves facing the situations or triggers that lead to anxiety and obsessions. Instead of avoiding these triggers, individuals purposefully confront them to gradually reduce their anxiety response and break the cycle of performing compulsions in response to obsessions.

Choice B rationale:

"During exposure and response prevention, you'll engage in the compulsive behaviors to reduce anxiety gradually." This statement is also incorrect. ERP focuses on gradually reducing and eventually eliminating compulsive behaviors, not engaging in them. The goal is to help individuals learn that their anxiety naturally decreases over time when they refrain from performing the compulsions, ultimately breaking the connection between obsessions and anxiety-driven behaviors.

Choice C rationale:

"Exposure and response prevention helps you face the situations that trigger anxiety while preventing the compulsive behaviors." This statement accurately explains how exposure and response prevention works in treating OCD. During ERP, individuals purposefully confront situations that trigger their obsessions while refraining from engaging in compulsive behaviors. By doing so, they learn that their anxiety decreases without the need for compulsions, helping to weaken the link between obsessions and anxiety.

Choice D rationale:

"In exposure and response prevention, we eliminate all exposure to the situations that cause distress and anxiety." This statement is incorrect. ERP involves controlled exposure to distressing situations or triggers, not complete avoidance. The goal is to help individuals build tolerance to the anxiety triggered by these situations while resisting the urge to perform compulsions.

A. Venlafaxine. B. Tricyclic antidepressants (TCAs). C. Risperidone. D. Selective serotonin reuptake inhibitors (SSRIs). E. Dopamine agonists.

Correct Answer is ["C","D"]

Explanation

Choice C rationale:

Risperidone is an atypical antipsychotic medication that is sometimes used as an augmentation strategy in treating OCD, particularly in cases where there are prominent obsessive-compulsive symptoms that are not well-controlled by other interventions. However, it's important to note that risperidone's use in OCD is off-label, meaning it's not approved by regulatory agencies specifically for OCD treatment.

Choice D rationale:

Selective serotonin reuptake inhibitors (SSRIs) are a cornerstone of pharmacological treatment for OCD. These medications, such as fluoxetine, sertraline, and fluvoxamine, increase the availability of serotonin in the brain and help alleviate obsessive-compulsive symptoms. They have been extensively studied and are considered first-line treatment options.

Choice A rationale:

Venlafaxine is a serotonin-norepinephrine reuptake inhibitor (SNRI) commonly used to treat depression and anxiety disorders. While it may have some benefit for anxiety symptoms, including those related to OCD, it is not considered a first-line treatment for OCD. SSRIs have shown greater efficacy for OCD management.

Choice B rationale:

Tricyclic antidepressants (TCAs) were among the first medications used to treat OCD. However, their side effect profiles and the availability of more effective and better-tolerated options, such as SSRIs, have led to TCAs being used less frequently for OCD treatment.

Choice E rationale:

Dopamine agonists are not commonly used for OCD treatment. In fact, they can potentially exacerbate symptoms, as imbalances in dopamine transmission are implicated in the pathophysiology of OCD. Using dopamine agonists without a clear rationale could worsen the condition.

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A nurse is caring for a client with OCD who is receiving cognitive-behavioral therapy (CBT) Which of the following interventions is the nurse most likely to use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

(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.

Correct Answer is ["C","D"]

Explanation

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?

(Select all that apply) A nurse is collaborating with other healthcare professionals to provide comprehensive care for a patient with OCD. Which actions should the nurse take as part of this collaboration?

A client with OCD expresses concerns about their medication. Which statement by the client indicates a need for further education?

A nurse is assisting a patient with OCD in developing a hierarchy of feared stimuli for exposure therapy. Which statement by the nurse is appropriate during this process?

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?

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 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?

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