A nurse is educating a group of nursing students about the differential diagnosis of obsessive-compulsive disorders (OCDs) in comparison to other mental disorders. Which factor helps differentiate OCDs from other mental disorders?
Ego-syntonic nature of obsessions and compulsions.
Connection of obsessions and compulsions to positive outcomes.
Lack of distress or impairment due to obsessions and compulsions.
Recognition that obsessions and compulsions are irrational and excessive.
The Correct Answer is D
Choice A rationale:
Obsessions and compulsions in OCD are ego-dystonic, not ego-syntonic. Ego-dystonic refers to thoughts, feelings, or behaviors that are perceived as incompatible with one's self-concept. In OCD, individuals recognize that their obsessions and compulsions are irrational and unwanted, which causes distress.
Choice B rationale:
The connection of obsessions and compulsions to positive outcomes is not a distinguishing factor for OCD. In fact, obsessions and compulsions often lead to distress and interfere with daily functioning.
Choice C rationale:
The presence of distress or impairment is a key factor that helps differentiate OCD from other mental disorders. Unlike some other conditions where the behaviors or thoughts might not distress the individual, OCD is characterized by the distress caused by the irrational and unwanted obsessions and compulsions.
Choice D rationale:
This choice is the correct answer. Individuals with OCD recognize that their obsessions and compulsions are irrational and excessive, but they struggle to control them. This recognition is a hallmark of OCD and helps differentiate it from other conditions where the person might not be aware of the irrationality of their behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Encouraging suppression of the urge to pull hair might worsen the client's anxiety and tension associated with trichotillomania. This approach may not address the underlying issues and could lead to increased distress.
Choice B rationale:
Camouflaging hair loss can be a practical approach, but it does not address the compulsive behavior itself. It focuses on hiding the consequences of the disorder rather than addressing the core issue.
Choice C rationale:
Assisting the client in finding replacement behaviors is the most appropriate intervention. This approach helps redirect the urge to pull hair into healthier alternatives, helping the client manage the compulsive behavior in a constructive manner.
Choice D rationale:
Avoiding mirrors might be counterproductive. For some individuals with trichotillomania, avoiding mirrors might increase anxiety and preoccupation, as they may feel disconnected from their appearance. It's important to address the underlying behavior rather than avoiding triggers.
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.