A nurse is reviewing the medical record of a client who is to begin taking aripiprazole.
The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

Choice A rationale:

Exposure and response prevention does not involve avoiding triggers that lead to obsessions and compulsions. It actually involves confronting these triggers to reduce their impact on the individual. Avoidance would not be an effective strategy in CBT for OCD.

Choice B rationale:

Engaging in compulsive behaviors to reduce anxiety is not the goal of exposure and response prevention. Instead, the therapy aims to help individuals resist engaging in these behaviors, allowing them to gradually reduce their anxiety over time.

Choice C rationale:

This is the correct answer. Exposure and response prevention in CBT for OCD involves facing situations that trigger anxiety while preventing the compulsive behaviors. This process helps individuals learn to tolerate the anxiety without resorting to compulsions, ultimately reducing the obsessions and compulsions' severity.

Choice D rationale:

Eliminating all exposure to distressing situations is not the goal of exposure and response prevention. The therapy aims to expose individuals to these situations in a controlled manner so they can learn to manage their anxiety and reduce compulsive behaviors. In exposure and response prevention, the key principle is to gradually expose the individual to situations that trigger their obsessions while simultaneously preventing the performance of compulsive behaviors. This approach allows the individual to confront their fears and anxiety, gradually reducing their sensitivity to these triggers.

Choice A rationale:

Having several siblings is not a direct contributing factor to the development of conduct disorder. Conduct disorder is more associated with behavioral and social factors, not family size.

Choice B rationale:

The presence of the client's father in the home is an important factor in family dynamics that can contribute to the development of conduct disorder. This is because the involvement and presence of parents, especially fathers, play a significant role in a child's emotional and behavioral development. The absence of a father figure or an unstable family environment can increase the risk of conduct disorder.

Choice C rationale:

The fact that the client's mother has asthma is not directly related to the development of conduct disorder. Asthma is a physical health condition and is not typically associated with conduct disorder unless it affects the family's dynamics in a significant way.

Choice D rationale:

Being the oldest sibling is not necessarily a contributing factor for the development of conduct disorder. Conduct disorder is primarily associated with behavior and environmental factors, not birth order.