A nurse is teaching a group of patients about treatment approaches for OCDs. Which statement accurately explains the rationale behind gradually increasing the dosage of medication during treatment?

"Higher medication doses are needed to quickly suppress all obsessive thoughts and compulsive behaviors.”

"Starting with a low dose helps minimize potential side effects and allows the body to adjust to the medication.”

"The goal is to achieve complete relief from obsessions and compulsions within a few days.”

"Higher doses are necessary to overcome the resistance often seen in individuals with OCD.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The statement that higher medication doses are needed to quickly suppress all obsessive thoughts and compulsive behaviors is not accurate. Medication dosages are adjusted based on individual response and tolerability, and the goal is not necessarily to use the highest dose possible.

Choice B rationale:

The correct answer. Starting with a low dose is a common practice in psychiatric medication management. This helps the body adjust to the medication gradually, reducing the likelihood and severity of side effects. As the body becomes accustomed to the medication, the dose can be gradually increased to achieve the desired therapeutic effect.

Choice C rationale:

The goal of achieving complete relief from obsessions and compulsions within a few days is an unrealistic expectation. Psychiatric medications typically require time to take effect, often several weeks, and complete relief might not occur for all individuals.

Choice D rationale:

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Correct Answer is A

Explanation

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.

A. Encouraging the client to challenge negative thoughts. B. Providing a list of alternative compulsions. C. Suggesting complete avoidance of anxiety triggers. D. Assigning more exposure therapy sessions. E. Acknowledging the client's efforts in therapy.

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale:

Encouraging the client to challenge negative thoughts is an effective cognitive-behavioral approach. It helps the client reframe their thinking patterns and build healthier self-esteem.

Choice B rationale:

Providing a list of alternative compulsions supports the client in finding healthier ways to cope with their anxiety. This can lead to a sense of accomplishment and improved self-esteem.

Choice C rationale:

Suggesting complete avoidance of anxiety triggers might seem helpful, but in the context of OCD, avoidance can reinforce the obsessions and compulsions. Gradual exposure and response prevention are evidence-based strategies.

Choice D rationale:

Assigning more exposure therapy sessions should be based on the client's progress and therapist's assessment. Increasing sessions solely for the sake of it might not be effective and could lead to frustration.

Choice E rationale:

Acknowledging the client's efforts in therapy fosters a positive therapeutic relationship and boosts their self-esteem. Recognizing progress and hard work encourages continued engagement in treatment.

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A nurse is teaching a group of patients about treatment approaches for OCDs. Which statement accurately explains the rationale behind gradually increasing the dosage of medication during treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

(Select all that apply). A client with OCD is experiencing impaired self-esteem due to their obsessions and compulsions. Which actions should the nurse take to promote the client's self-esteem?

Correct Answer is ["A","B","E"]

Explanation

A nurse is educating a group of patients with OCD about their condition. Which information should the nurse include in the education session?

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 nurse is providing care to a client with trichotillomania (hair-pulling disorder) What intervention would be most appropriate to include in the client's care plan?

A nurse is teaching a group of nursing students about the pathophysiology of obsessive-compulsive disorders (OCDs) Which brain circuit is thought to be involved in OCDs, and what are its main components responsible for regulating cognitive processes?

A nurse is caring for a client with OCD who is refusing to leave their room because they are afraid of contamination. Which of the following interventions should the nurse prioritize?

(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 nurse is providing care for a client with obsessive-compulsive disorder (OCD) Which statement by the nurse would be most appropriate in this situation?

A nurse is caring for a client with OCD who has a compulsion to wash their hands repeatedly. Which of the following interventions should the nurse prioritize?