Chapter 15 Obsessive-Compulsive and
Related Disorders Practice Questions
and Answers
Interventions for a client with OCD would include
a.encouraging the client to verbalize feelings.
b.helping the client avoid obsessive thinking.
c.interrupting rituals with appropriate distractions.
d.planning with the client to limit rituals.
e.teaching relaxation exercises to the client.
f.telling the client to tolerate any anxious feelings. ✅d.planning with the client to limit
rituals.
e.teaching relaxation exercises to the client.
f.telling the client to tolerate any anxious feelings.
2.Which of the following characteristics describe the obsessional thoughts experienced
by clients with OCD?
a.Intrusive
b.Realistic
c.Recurrent
d.Uncontrollable
e.Unwanted
f.Voluntary ✅a.Intrusive
c.Recurrent
d.Uncontrollable
e.Unwanted
The nurse is providing education to a client prescribed clomipramine to help with
obsessive-compulsive disorder. Which statement by the client indicates the teaching
was effective?
"I should be feeling better in a week once I am on the medication."
"I will not feel sleepy as a side effect of the medication."
"I should take the medication on an empty stomach.
"I may have a risk of suicidal thoughts with the medication." ✅"I may have a risk of
suicidal thoughts with the medication."
Explanation:
The client would have a risk of suicidal thoughts so needs to be aware so that these can
be reported to the healthcare provider. The medication would take usually several
weeks before the client notices therapeutic effects so should not expect to feel better in
a week. The medication also has a side-effect of sedation so that the client should be
, careful with driving and operating heavy machinery. The medication is best taken with
food, not on an empty stomach.
The nurse is educating the client's family about compulsive behavior. The nurse is
correct when making which statement?
The client's thoughts and behaviors are realistically connected.
The behavior neutralizes anxiety caused by obsessive thoughts.
The client stops the ritual only when prompted by external stimuli.
The behavior eventually leads to insanity. ✅The behavior neutralizes anxiety caused
by obsessive thoughts.
Explanation:
The client attempts to suppress or ignore the intrusive thoughts by indulging in ritualistic
behavior. This behavior neutralizes the anxiety caused by obsessive thoughts.
However, the thoughts and behaviors are not realistically connected. The client
becomes agitated and anxiety levels increase when prompted to stop by external
stimuli. The client has normal intellectual functioning and is not on the verge of insanity.
A client with obsessive-compulsive disorder (OCD) is preparing for exposure and
response prevention behavioral therapy. What does the nurse recommend as the first
step?
Learn deep breathing exercises.
Chronicle situations that trigger obsessions.
Seek assistance of family to complete daily activities.
Follow a written schedule with specified times for completion. ✅Chronicle situations
that trigger obsessions.
Explanation:
Exposure and behavioral prevention therapy begins by having the client maintain a
diary to note the situations that trigger obsessions, time spent performing the ritual
behavior, and avoidance behaviors. Relaxation techniques to assist in managing
anxiety can be performed regardless of participation in exposure and response
prevention therapy. This is also true of following a written schedule with specified times
for completion. The client must be able to complete daily activities without assistance in
a scheduled time frame.
A client with obsessive-compulsive disorder (OCD) states making a concerted effort to
reduce the frequency and duration of rituals. What intervention should the nurse include
to assist in these efforts?
Teach the client nonpharmacologic relaxation techniques
Administer mood stabilizers as prescribed
Teach the client how to complete the client's rituals in less time
Related Disorders Practice Questions
and Answers
Interventions for a client with OCD would include
a.encouraging the client to verbalize feelings.
b.helping the client avoid obsessive thinking.
c.interrupting rituals with appropriate distractions.
d.planning with the client to limit rituals.
e.teaching relaxation exercises to the client.
f.telling the client to tolerate any anxious feelings. ✅d.planning with the client to limit
rituals.
e.teaching relaxation exercises to the client.
f.telling the client to tolerate any anxious feelings.
2.Which of the following characteristics describe the obsessional thoughts experienced
by clients with OCD?
a.Intrusive
b.Realistic
c.Recurrent
d.Uncontrollable
e.Unwanted
f.Voluntary ✅a.Intrusive
c.Recurrent
d.Uncontrollable
e.Unwanted
The nurse is providing education to a client prescribed clomipramine to help with
obsessive-compulsive disorder. Which statement by the client indicates the teaching
was effective?
"I should be feeling better in a week once I am on the medication."
"I will not feel sleepy as a side effect of the medication."
"I should take the medication on an empty stomach.
"I may have a risk of suicidal thoughts with the medication." ✅"I may have a risk of
suicidal thoughts with the medication."
Explanation:
The client would have a risk of suicidal thoughts so needs to be aware so that these can
be reported to the healthcare provider. The medication would take usually several
weeks before the client notices therapeutic effects so should not expect to feel better in
a week. The medication also has a side-effect of sedation so that the client should be
, careful with driving and operating heavy machinery. The medication is best taken with
food, not on an empty stomach.
The nurse is educating the client's family about compulsive behavior. The nurse is
correct when making which statement?
The client's thoughts and behaviors are realistically connected.
The behavior neutralizes anxiety caused by obsessive thoughts.
The client stops the ritual only when prompted by external stimuli.
The behavior eventually leads to insanity. ✅The behavior neutralizes anxiety caused
by obsessive thoughts.
Explanation:
The client attempts to suppress or ignore the intrusive thoughts by indulging in ritualistic
behavior. This behavior neutralizes the anxiety caused by obsessive thoughts.
However, the thoughts and behaviors are not realistically connected. The client
becomes agitated and anxiety levels increase when prompted to stop by external
stimuli. The client has normal intellectual functioning and is not on the verge of insanity.
A client with obsessive-compulsive disorder (OCD) is preparing for exposure and
response prevention behavioral therapy. What does the nurse recommend as the first
step?
Learn deep breathing exercises.
Chronicle situations that trigger obsessions.
Seek assistance of family to complete daily activities.
Follow a written schedule with specified times for completion. ✅Chronicle situations
that trigger obsessions.
Explanation:
Exposure and behavioral prevention therapy begins by having the client maintain a
diary to note the situations that trigger obsessions, time spent performing the ritual
behavior, and avoidance behaviors. Relaxation techniques to assist in managing
anxiety can be performed regardless of participation in exposure and response
prevention therapy. This is also true of following a written schedule with specified times
for completion. The client must be able to complete daily activities without assistance in
a scheduled time frame.
A client with obsessive-compulsive disorder (OCD) states making a concerted effort to
reduce the frequency and duration of rituals. What intervention should the nurse include
to assist in these efforts?
Teach the client nonpharmacologic relaxation techniques
Administer mood stabilizers as prescribed
Teach the client how to complete the client's rituals in less time
