(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 B

Explanation

Choice A rationale:

The statement "I have to check the locks on the door 10 times before I can leave my house" is indicative of checking compulsions often seen in OCD. This involves repetitive behaviors performed to reduce distress, such as checking locks multiple times. However, this choice is less likely because it focuses on checking rather than washing.

Choice B rationale:

The correct answer. This statement reflects a common manifestation of OCD, specifically contamination-related obsessions and cleaning compulsions. The client's fear of getting sick from not washing their hands is a classic example of obsessive thoughts leading to repetitive behaviors aimed at reducing anxiety.

Choice C rationale:

The statement "I think I'm going crazy because I keep thinking about these things" indicates the presence of intrusive and distressing thoughts, which are characteristic of OCD. However, this choice does not encompass the compulsive behaviors that are essential for an OCD diagnosis. It primarily highlights the emotional distress associated with the thoughts.

Choice D rationale:

The statement "I'm not sure if I'm really sick or if I'm just imagining it" suggests uncertainty and doubt, which are common features of OCD. However, this choice does not emphasize the typical compulsions that accompany OCD. It focuses more on self-doubt rather than specific ritualistic behaviors.

A. "I always arrange my books on the shelf from tallest to shortest.” B. "I feel an overwhelming urge to wash my hands every 30 minutes.” C. "I have a ritual of counting to 10 before entering any room.” D. "I keep having thoughts that my family will get hurt if I don't touch the doorknob three times.”

Correct Answer is D

Explanation

Choice A rationale:

The statement "I always arrange my books on the shelf from tallest to shortest" doesn't indicate an obsession. This behavior might suggest a preference for orderliness or arranging things systematically, but it lacks the distressing, unwanted nature of obsessions.

Choice B rationale:

"I feel an overwhelming urge to wash my hands every 30 minutes" indicates a compulsion rather than an obsession. The urge to wash hands frequently is driven by the need to alleviate anxiety or distress, which is the hallmark of compulsive behaviors.

Choice C rationale:

"I have a ritual of counting to 10 before entering any room" is also a compulsion. The ritual of counting serves as a way to reduce anxiety or prevent a feared outcome associated with entering a room, suggesting a compulsive behavior.

Choice D rationale:

The statement "I keep having thoughts that my family will get hurt if I don't touch the doorknob three times" reflects an obsession. The distressing thought of family harm is the unwanted obsession, and the ritual of touching the doorknob three times is the compulsion aimed at reducing the anxiety caused by the obsession.

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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 client with OCD is telling the nurse about their symptoms. Which of the following statements is most likely made by the client?

Correct Answer is B

Explanation

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

Correct Answer is D

Explanation

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?

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?

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

A client is being evaluated for potential OCD. The nurse explains the differential diagnosis process. Which observation supports the diagnosis of OCD rather than another mental disorder?

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?

(Select All That Apply):. A nurse is teaching a group of patients about pharmacological interventions for OCDs. Which medications are commonly used to treat OCDs? Select all that apply.

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