Clients from which continent or country may have symptoms of somatization
disorder that include the nondelusional sensation of worms in the head or ants
under the skin?
~ - Africa
Rationale: Pseudoneurologic symptoms of somatization disorder in Africa and
South Asia include burning hands a...
When assessing the insight and self-concept of a client with obsessive-
compulsive disorder (OCD), what does the nurse note?
✓~ - The client has a fear of "going crazy."
Rationale: Clients with OCD express concern that they may be "going crazy."
Feelings of powerlessness to control the obsessions or compulusions contribute
to their low self-esteem. These clients also feel that they could control the
thoughts and behaviors if they had stronger willpower. These clients are able to
make sound judgments but are unable to act on them. Clients with OCD are
aware that the intrusive images and thoughts are irrational, but they cannot
control the overwhelming anxiety.
The nurse is caring for an adolescent with dermatillomania. What does the nurse
tell the client's parent about this disorder? Select all that apply.
,✓~ - It can lead to loss of occupational functioning.
- It can lead to medical complications
- The client finds comfort in skin picking
Rationale: Dermatillomania is an obsessive-compulsive disorder (OCD) in which
the client seeks comfort in skin picking. This behavior can lead to the loss of
occupational functioning if the client refuses to interact with others due to
disfigurement. The condition can also lead to infections and other medical
complications. Dermatillomania is not caused by substance use nor is it a reward-
seeking behavior.
The nurse is caring for a client with obsessive-compulsive disorder (OCD). What
are the expected outcomes for the client who has been stabilized by medication
and behavior therapy?
✓~ - Continue follow-up therapy as needed.
Rationale: Clients with OCD who have been stabilized by medication and
behavior therapy may experience long-term difficulties in dealing with obsessive
thoughts. These clients are encouraged to continue follow-up therapy. The
,expected outcome for clients in the stabilization phase of therapy is verbalizing
knowledge of illness and treatment plan. In the immediate phase of therapy,
clients should be able to list and review strengths and abilities with the nursing
staff. These clients should also be able identify stresses and anxieties to
enable the nurse to develop a plan of care.
The nurse is caring for a client undergoing cognitive behavior therapy for
obsessive-compulsive disorder. How does the cognitive model describe the
client's thought process? Select all that apply
✓~ - The client has intolerance for uncertainty.
- The client overestimates the threats caused by the thoughts.
- The client wants to control own thoughts.
Rationale: According to the cognitive model, the person believes that "if I think,
it will happen." Therefore, the client wants to control the client's own thoughts.
This client tries to be perfect and has intolerance for uncertainty. The client
feels threatened by the thoughts. All this causes an increased anxiety in the
client leading to some compulsive ritualistic behavior. As per the cognitive
, model, the client's thoughts are influenced by an inflated sense of
responsibility. This may be a result of strict moral or religious upbringing.
Which statement made by the nurse to the family of a client diagnosed with
obsessive-compulsive disorder (OCD) demonstrates the best general
understanding of the chronic nature of the disorder and its management?
✓~ - "It's important to know that the symptoms will intensify during periods of
stress."
Rationale: OCD is a chronic, progressive disease. Symptoms wax and wane over
time, increasing during periods of stress. While the other statements are
accurate, they do not provide the most general, encompassing information
regarding the management of this chronic, progressive disorder.
A client's older parent has been diagnosed with hoarding disorder. What does
the nurse instruct the client about the parent's hoarding disorder?
✓~ - Treatment may involve community agencies.
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