(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?

Encouraging the client to challenge negative thoughts.

Providing a list of alternative compulsions.

Suggesting complete avoidance of anxiety triggers.

Assigning more exposure therapy sessions.

Acknowledging the client's efforts in therapy.

Answer and Explanation

Correct Answer : A,B,E

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale:

The limbic circuit consisting of the hippocampus, amygdala, and hypothalamus is not the main brain circuit involved in obsessive-compulsive disorders (OCDs) The limbic circuit is more closely associated with emotions and memory, rather than the cognitive processes that drive OCD symptoms.

Choice B rationale:

The central executive circuit comprising the prefrontal cortex and temporal lobes is responsible for higher-level cognitive functions like decision-making and working memory. However, this circuit is not primarily implicated in the pathophysiology of OCD.

Choice C rationale:

The correct choice. The cortico-striato-thalamo-cortical (CSTC) circuit plays a central role in the development of OCD. This circuit involves several key components: Orbitofrontal cortex: Responsible for assessing potential risks and rewards, and for decision-making. Anterior cingulate cortex: Involved in error detection, emotional processing, and regulating cognitive flexibility. Striatum: Responsible for habit formation and reward-based learning. Thalamus: Acts as a relay station for information between various brain regions. This circuit's malfunction can lead to repetitive behaviors and intrusive thoughts characteristic of OCD.

Choice D rationale:

The ventral tegmental circuit involving the substantia nigra and ventral tegmental area is primarily associated with the brain's reward system and the regulation of mood and motivation. It is not a key player in OCD's pathophysiology.

A. "I feel really sad sometimes because I'm overweight.” B. "I often compare my appearance to that of celebrities.” C. "I spend hours each day in front of the mirror, checking my face.” D. "I avoid social situations because I think everyone is staring at my flaws.”

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.

View Question and Answer

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

(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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A client with body dysmorphic disorder (BDD) is explaining their experiences to a nurse. Which statements by the client indicate symptoms of BDD? Select all that apply.

Correct Answer is ["B","D"]

Explanation

A nurse is discussing pharmacological interventions for treating OCDs with a group of patients. Which statement accurately describes the role of selective serotonin reuptake inhibitors (SSRIs) in OCD treatment?

A nurse is educating a client who has been diagnosed with various types of obsessive-compulsive disorders (OCDs) Select all the themes that can categorize obsessions and compulsions in individuals with OCD.

A client with OCD is experiencing distress and anxiety due to obsessions. Which intervention should the nurse prioritize to reduce the client's distress?

(Select All That Apply):. A nurse is assessing a group of clients for their understanding of treatment approaches for OCDs. Which options accurately describe cognitive-behavioral therapy (CBT) and its components? Select all that apply.

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?

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?

(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?

A client with OCD is hesitant about taking medication. Which potential benefit of pharmacological treatment could the nurse emphasize to encourage the client?