(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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

Obsessions and compulsions in OCD are ego-dystonic, not ego-syntonic. Ego-dystonic refers to thoughts, feelings, or behaviors that are perceived as incompatible with one's self-concept. In OCD, individuals recognize that their obsessions and compulsions are irrational and unwanted, which causes distress.

Choice B rationale:

The connection of obsessions and compulsions to positive outcomes is not a distinguishing factor for OCD. In fact, obsessions and compulsions often lead to distress and interfere with daily functioning.

Choice C rationale:

The presence of distress or impairment is a key factor that helps differentiate OCD from other mental disorders. Unlike some other conditions where the behaviors or thoughts might not distress the individual, OCD is characterized by the distress caused by the irrational and unwanted obsessions and compulsions.

Choice D rationale:

This choice is the correct answer. Individuals with OCD recognize that their obsessions and compulsions are irrational and excessive, but they struggle to control them. This recognition is a hallmark of OCD and helps differentiate it from other conditions where the person might not be aware of the irrationality of their behavior.

A. Fear of heights and open spaces leading to avoidance behaviors. B. Repeatedly checking if the stove is turned off before leaving the house. C. Feeling the need to touch every object in a room an equal number of times. D. Persistent worry about a loved one's safety causing ritualistic prayers. E. Strong desire to organize items by color, shape, and size.

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

Explanation

Choice A rationale:

While fear of heights and open spaces leading to avoidance behaviors can be associated with anxiety disorders, it is not a typical theme for obsessions and compulsions in individuals with OCD. OCD themes usually revolve around repetitive thoughts and behaviors that aim to alleviate distress or prevent feared outcomes.

Choice B rationale:

The repeated checking of the stove being turned off before leaving the house is a common obsession and compulsion in individuals with OCD. This behavior stems from the fear of potential harm or danger (e.g., fire) and the compulsive act of checking is performed to reduce anxiety related to the obsession.

Choice C rationale:

Feeling the need to touch every object in a room an equal number of times is another manifestation of OCD. This behavior is driven by the obsession of achieving symmetry, balance, or a sense of completeness through compulsive rituals like touching.

Choice D rationale:

Persistent worry about a loved one's safety causing ritualistic prayers is also a theme seen in OCD. Individuals may feel compelled to engage in repetitive prayers or rituals to protect their loved ones from harm due to their obsessive fears.

Choice E rationale:

The strong desire to organize items by color, shape, and size is more indicative of perfectionism or certain personality traits rather than a typical theme in OCD. OCD usually involves distressing and unwanted thoughts (obsessions) and the corresponding rituals or repetitive behaviors (compulsions) aimed at reducing the distress.

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(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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a group of nursing students about the differential diagnosis of obsessive-compulsive disorders (OCDs) in comparison to other mental disorders. Which factor helps differentiate OCDs from other mental disorders?

Correct Answer is D

Explanation

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.

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

Explanation

(Select all that apply) A nurse is implementing interventions for a patient with OCD based on the Nursing Interventions Classification (NIC) Which interventions would the nurse include for this patient?

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 assessing a client with obsessive-compulsive disorder (OCD) The client reports that they have been having recurrent thoughts about contamination. Which of the following is the most appropriate nursing diagnosis for this client?

A nurse is caring for a client diagnosed with hoarding disorder. Which description accurately characterizes hoarding behavior?

A nurse is assessing a client who has been diagnosed with obsessive-compulsive disorder (OCD) Which statement by the client indicates an obsession?

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 reviewing the medical record of a client with OCD. Which of the following findings is most likely to be present in the client's record?

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?