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?
The obsessions or compulsions are connected in a realistic way with what they are designed to neutralize or prevent.
The behaviors or mental acts are aimed at achieving perfectionism and high standards.
The disturbance must be attributable to the physiological effects of a substance or another medical condition.
The obsessive-compulsive symptoms are better explained by the symptoms of another mental disorder.
The Correct Answer is A
Choice A rationale:
This choice accurately reflects one of the criteria for diagnosing OCD. The obsessions (intrusive and distressing thoughts) and compulsions (repetitive behaviors or mental acts) experienced by individuals with OCD are usually connected to what they are trying to neutralize or prevent. For instance, if someone has an obsessive fear of contamination, their compulsions might involve excessive hand washing to neutralize this fear.
Choice B rationale:
While perfectionism and high standards can be associated with OCD, they are not a primary diagnostic criterion. OCD is characterized by the presence of obsessions and compulsions that cause distress and significantly interfere with a person's daily life.
Choice C rationale:
This option is incorrect. The disturbance in OCD is not attributed to the physiological effects of substances or other medical conditions. It is a distinct mental health condition that is not solely a result of substance use or another medical issue.
Choice D rationale:
This option is incorrect. The symptoms of OCD should not be better explained by the symptoms of another mental disorder. While comorbidities can exist, OCD has its own unique set of obsessions and compulsions that differentiate it from other mental disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
C.
Choice A rationale:
Providing physical care only. This choice is not the correct answer. Collaborating on care for a client with an eating disorder involves more than just providing physical care. Eating disorders are complex mental health issues that require a multidisciplinary approach, addressing both physical and psychological aspects.
Choice B rationale:
Sharing information and coordinating care. This is a correct answer. Collaborating with the multidisciplinary team is crucial in caring for clients with eating disorders. Sharing information and coordinating care among various healthcare professionals, such as therapists, dietitians, physicians, and psychologists, ensures a holistic approach to treatment. Eating disorders often have psychological, nutritional, and medical components that need to be addressed collectively.
Choice C rationale:
Making referrals exclusively to physicians. This choice is not entirely accurate. While physicians may be part of the multidisciplinary team, collaborating on eating disorder cases goes beyond just making referrals to physicians. Other specialists, such as therapists, dietitians, and psychologists, play essential roles in the comprehensive care of these clients.
Choice D rationale:
Administering medications without consulting others. This choice is not the correct answer. Administering medications without consulting the multidisciplinary team can be dangerous, especially in cases of eating disorders where medication management might interact with other aspects of treatment. Collaborative decision-making helps prevent adverse interactions and ensures that all aspects of care are considered.
Choice E rationale:
Participating in team meetings. This is a correct answer. Participating in team meetings is vital for effective collaboration in the care of clients with eating disorders. These meetings provide an opportunity to discuss the client's progress, adjust treatment plans, and share insights from different perspectives. Regular communication among team members promotes a well-rounded approach to care.
Correct Answer is ["B","D"]
Explanation
Choice A rationale:
This choice does not indicate symptoms of Body Dysmorphic Disorder (BDD) Feeling sad about being overweight is not specific to BDD and could be related to body dissatisfaction or other emotional concerns.
Choice B rationale:
This choice indicates a symptom of BDD. Constantly comparing one's appearance to that of celebrities suggests a preoccupation with perceived flaws, which is a hallmark of BDD. Individuals with BDD often engage in such comparisons as a way to validate their negative self-image.
Choice C rationale:
While spending excessive time in front of the mirror can be a symptom of BDD, the statement alone does not definitively indicate the disorder. It's important to consider the reason behind the mirror checking behavior and the individual's emotional distress related to it.
Choice D rationale:
This choice indicates a symptom of BDD. Avoiding social situations due to the fear of being negatively evaluated or judged based on one's perceived flaws is a classic sign of BDD. Individuals with BDD often believe that others are fixated on their perceived defects.
Choice E rationale:
This choice does not indicate symptoms of BDD. Having a collection of items without attaching sentimental value is not specific to BDD. It's important to focus on behaviors and thoughts related to perceived physical flaws when assessing for BDD.
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