(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.
CBT involves exposing the individual to feared stimuli or situations.
CBT primarily focuses on replacing distorted thoughts with unrealistic beliefs.
Exposure and response prevention helps the individual habituate to anxiety.
CBT aims to enhance positive emotional outcomes related to obsessions.
Cognitive therapy in CBT challenges cognitive distortions underlying OCD.
Correct Answer : A,C,E
Choice A rationale:
Cognitive-behavioral therapy (CBT) often involves exposing individuals to feared stimuli or situations in a controlled and gradual manner, a technique known as exposure therapy. This exposure helps individuals confront their anxieties and gradually reduce their distress over time. Exposure therapy is a cornerstone of CBT for anxiety disorders, including OCD.
Choice C rationale:
Exposure and response prevention (ERP) is a critical component of CBT for OCD. This technique involves exposing the individual to anxiety-provoking situations or thoughts (exposure) while preventing the usual compulsive responses (response prevention). Through repeated exposures without engaging in compulsions, the individual learns that their anxiety naturally decreases over time, leading to habituation to the anxiety-provoking stimuli.
Choice E rationale:
Cognitive therapy within CBT aims to challenge and modify cognitive distortions and unrealistic beliefs that underlie OCD. Individuals with OCD often have distorted thought patterns, such as catastrophic thinking or black-and-white reasoning. Cognitive therapy helps individuals recognize and reframe these distorted thoughts, leading to more adaptive and realistic thinking patterns.
Choice B rationale:
This choice is not accurate. CBT does not primarily focus on replacing distorted thoughts with unrealistic beliefs. Instead, it focuses on identifying and modifying irrational or negative thought patterns.
Choice D rationale:
While CBT does aim to enhance positive emotional outcomes, this choice is not entirely accurate in describing the main goal of CBT for OCD. The primary goal of CBT is to reduce the symptoms and distress associated with obsessions and compulsions by addressing the cognitive and behavioral factors that maintain the disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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