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?
"You need to stop these behaviors immediately to overcome your disorder.”
"Try to distract yourself whenever you feel the urge to perform a compulsion.”
"It's important to give in to your compulsions to relieve your anxiety.”
"Let's work together to develop strategies to gradually reduce these behaviors over time.”
The Correct Answer is D
Choice A rationale:
The nurse should not tell the client to stop their behaviors immediately, as this approach is likely to increase anxiety and distress. Individuals with obsessive-compulsive disorder (OCD) often find it challenging to abruptly stop their compulsions, and attempting to do so can lead to heightened anxiety.
Choice B rationale:
Distracting oneself from the urge to perform compulsions might provide temporary relief, but it does not address the underlying issues of OCD. It is essential to work on strategies that target the reduction of compulsions and the management of anxiety associated with them.
Choice C rationale:
Giving in to compulsions might temporarily relieve anxiety, but it reinforces the cycle of OCD behavior. Encouraging the client to give in to compulsions is counterproductive to the treatment of OCD, which involves breaking the pattern of compulsive behavior.
Choice D rationale:
This is the correct choice. Collaboratively developing strategies to gradually reduce compulsive behaviors is a standard approach in treating OCD. This method is aligned with exposure and response prevention therapy, a well-established treatment for OCD. By gradually facing the situations that trigger obsessive thoughts and then refraining from performing compulsions, clients can learn to manage their anxiety and reduce their reliance on compulsive behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
Sharing patient information without consent violates patient privacy and confidentiality. This goes against ethical and legal standards in healthcare.
Choice B rationale:
This is a correct choice. Communicating treatment progress to the healthcare team ensures everyone is informed and can provide coordinated care. Collaboration and information sharing are important for comprehensive patient management.
Choice C rationale:
Referring the patient to support groups is a collaborative action that can provide additional avenues of help and coping strategies. Support groups can offer a sense of community and understanding among individuals facing similar challenges.
Choice D rationale:
Excluding the patient from treatment decisions contradicts patient-centered care and shared decision-making principles. Collaboration involves involving the patient in their own care.
Choice E rationale:
Coordinating medication adjustments is a collaborative action as medications are often managed by healthcare professionals such as doctors or nurse practitioners. Adjustments should be made collectively to ensure the best outcome for the patient.
Correct Answer is B
Explanation
Choice A rationale:
"SSRIs primarily target glutamate modulation in the brain." This statement is inaccurate. Selective serotonin reuptake inhibitors (SSRIs) primarily target the modulation of serotonin levels in the brain, not glutamate. These medications work by inhibiting the reuptake of serotonin, which increases the availability of serotonin in the synaptic cleft and helps regulate mood and anxiety.
Choice B rationale:
"SSRIs work by increasing the availability of serotonin in the brain to reduce obsessions and compulsions." This statement accurately describes the role of SSRIs in treating OCD. Serotonin is a neurotransmitter that plays a role in mood regulation, and imbalances in serotonin have been implicated in OCD. By increasing the availability of serotonin in the brain, SSRIs can help reduce the frequency and intensity of obsessions and compulsions.
Choice C rationale:
"SSRIs are used to enhance positive emotional outcomes in individuals with OCD." This statement is not accurate. While SSRIs can improve mood and reduce anxiety, their primary role in treating OCD is to alleviate the symptoms of obsessions and compulsions by affecting neurotransmitter levels. They are not specifically used to enhance positive emotional outcomes.
Choice D rationale:
"SSRIs are reserved for individuals who have ego-syntonic obsessions and compulsions." This statement is incorrect. Ego-syntonic obsessions and compulsions are those that are consistent with a person's self-image and beliefs, and individuals may not feel a strong need to resist or change them. SSRIs are used to treat both ego-dystonic (inconsistent with self-image) and ego-syntonic obsessions and compulsions in OCD, as these medications target the underlying neurochemical imbalances that contribute to the disorder's symptoms.
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