(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.

Venlafaxine.

Tricyclic antidepressants (TCAs).

Risperidone.

Selective serotonin reuptake inhibitors (SSRIs).

Dopamine agonists.

Answer and Explanation

Correct Answer : C,D

Choice C rationale:

Risperidone is an atypical antipsychotic medication that is sometimes used as an augmentation strategy in treating OCD, particularly in cases where there are prominent obsessive-compulsive symptoms that are not well-controlled by other interventions. However, it's important to note that risperidone's use in OCD is off-label, meaning it's not approved by regulatory agencies specifically for OCD treatment.

Choice D rationale:

Selective serotonin reuptake inhibitors (SSRIs) are a cornerstone of pharmacological treatment for OCD. These medications, such as fluoxetine, sertraline, and fluvoxamine, increase the availability of serotonin in the brain and help alleviate obsessive-compulsive symptoms. They have been extensively studied and are considered first-line treatment options.

Choice A rationale:

Venlafaxine is a serotonin-norepinephrine reuptake inhibitor (SNRI) commonly used to treat depression and anxiety disorders. While it may have some benefit for anxiety symptoms, including those related to OCD, it is not considered a first-line treatment for OCD. SSRIs have shown greater efficacy for OCD management.

Choice B rationale:

Tricyclic antidepressants (TCAs) were among the first medications used to treat OCD. However, their side effect profiles and the availability of more effective and better-tolerated options, such as SSRIs, have led to TCAs being used less frequently for OCD treatment.

Choice E rationale:

Dopamine agonists are not commonly used for OCD treatment. In fact, they can potentially exacerbate symptoms, as imbalances in dopamine transmission are implicated in the pathophysiology of OCD. Using dopamine agonists without a clear rationale could worsen the condition.

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Correct Answer is C

Explanation

Choice A rationale:

Blood pressure regulation is not directly related to the outcomes for patients with obsessive-compulsive disorder (OCD) OCD primarily involves persistent, unwanted thoughts and repetitive behaviors, and blood pressure regulation is not a priority outcome for this condition.

Choice B rationale:

Pain management is also not relevant to the outcomes of patients with OCD. OCD doesn't cause physical pain, so pain management interventions would not be included in the Nursing Outcomes Classification (NOC) for OCD patients.

Choice C rationale:

Coping and self-esteem improvement is the correct choice. Individuals with OCD often struggle with managing their distressing thoughts and compulsive behaviors. Improving coping mechanisms and enhancing self-esteem are important goals in the care of these patients. The NOC would include outcomes related to helping patients develop healthier ways of managing their thoughts and behaviors, thereby improving their overall quality of life.

Choice D rationale:

Respiratory function optimization is unrelated to the outcomes of patients with OCD. This outcome is more relevant to conditions affecting the respiratory system, such as asthma or chronic obstructive pulmonary disease (COPD), and not to OCD.

A. "OCD is caused solely by genetic factors.” B. "Exposure therapy is not effective for treating OCD.” C. "SSRIs are commonly used medications for OCD.” D. "CBT is not recommended for treating OCD.”

Correct Answer is C

Explanation

Choice A rationale:

While genetic factors can contribute to the development of OCD, stating that it is solely caused by genetic factors oversimplifies the etiology. OCD is a complex disorder with multiple factors, including genetic, neurobiological, cognitive, and environmental influences.

Choice B rationale:

This statement is incorrect. Exposure therapy is a highly effective treatment for OCD. It involves controlled and systematic exposure to feared stimuli, which helps individuals reduce their anxiety responses over time.

Choice C rationale:

This choice is correct because selective serotonin reuptake inhibitors (SSRIs) are indeed commonly used as a first-line pharmacological treatment for OCD. These medications help regulate serotonin levels in the brain, which can reduce the frequency and intensity of obsessions and compulsions.

Choice D rationale:

Cognitive-behavioral therapy (CBT) is actually recommended as one of the most effective treatments for OCD. CBT, including exposure and response prevention, helps individuals learn to manage their symptoms by changing maladaptive thought patterns and behaviors associated with OCD. Therefore, stating that CBT is not recommended is inaccurate.

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(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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with obsessive-compulsive disorder (OCD) using the Nursing Outcomes Classification (NOC) Which of the following outcomes would the nurse expect to find in the NOC for patients with OCD?

Correct Answer is C

Explanation

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

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.

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 caring for a client with OCD who is receiving cognitive-behavioral therapy (CBT) Which of the following interventions is the nurse most likely to use?

(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?

(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?

(Select all that apply):. A nurse is caring for a client with an eating disorder. What responsibilities should the nurse collaborate on with the multidisciplinary team? (Choose three.)

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 client with OCD is undergoing cognitive-behavioral therapy (CBT) The client asks the nurse, "How does exposure and response prevention work in treating OCD?" Which response by the nurse accurately explains this aspect of CBT?