The nurse is concerned that a client is demonstrating signs of obsessive-compulsive disorder. Which clinical manifestations and risk factors identified during the nursing assessment caused the nurse's concern? Select all that apply. A) Not making eye contact with the nurse B) Female age 25 C) Clien...
OCD Practice Exam Questions and
Correct Answers
The nurse is concerned that a client is demonstrating signs of obsessive-compulsive
disorder. Which clinical manifestations and risk factors identified during the nursing
assessment caused the nurse's concern? Select all that apply.
A) Not making eye contact with the nurse
B) Female age 25
C) Client checking the contents of a purse several times within minutes
D) Client repeating the words "third floor"
E) Client asking to use the bathroom in the middle of the assessment ✅Answer: B, C,
D
Explanation: Obsessive-compulsive disorder affects men and women equally; however,
women often develop the disorder in adolescence or early adulthood. Checking and
repeating are two common compulsions related to symmetry obsessions. Lack of eye
contact and using the bathroom during an assessment are not manifestations of the
disorder.
A mother says to the nurse, "I think my teenage son is showing signs of obsessive-
compulsive disorder, just like his father." Which risk factors in the client's medical history
would support this diagnosis? Select all that apply.
A) Lives with parents
B) Male gender
C) Unemployed
D) History of chronic illnesses
E) Family history ✅Answer: B, E
Explanation: Risk factors for obsessive-compulsive disorder include having a first-
degree relative with the disorder and going through a major life stressor. Men develop
the disorder earlier than women. Living with parents, being unemployed, or having a
history of chronic illnesses are not risk factors for the disorder.
When caring for a client newly diagnosed with obsessive-compulsive disorder, which
action by the nurse is appropriate?
A) Do not interrupt the ritual.
B) Interrupt the ritual.
C) Teach about antianxiety foods.
D) Teach ritual interruption skills. ✅Answer: A
Explanation: Do not interrupt the ritual because the client may feel compelled to start
from the beginning. For the newly diagnosed client, teaching ritual interruption skills and
teaching about antianxiety foods would not be the priority.
The home care nurse observes a client scrubbing areas throughout the house over and
over, especially areas where the family gathers. Prior to planning care for this client,
which must the nurse assess?
, A) If the client is forgetful
B) If the client does not clean thoroughly
C) How frequently the client cleans the house
D) The impact of symptoms on the family system ✅Answer: D
Explanation: Obsessive-compulsive disorder impacts the family system, especially with
impaired role function. How frequently or thoroughly the client cleans the house may be
important to assess, but they are not the most important. Forgetfulness is not a
component of obsessive-compulsive disorder.
Which finding would indicate that treatment for a client with obsessive-compulsive
disorder is effective?
A) The client watches television while eating meals and engages in conversation with a
roommate.
B) The client conducts ritualistic hand washing every hour.
C) While walking, the client counts 13 steps and then reverses the direction and repeats
the process.
D) The client folds and refolds clothing in a drawer before each meal. ✅Answer: A
Explanation: The client who watches television while eating meals and engages in
conversation with a roommate is exhibiting behavior that suggests treatment for
obsessive-compulsive disorder is effective. This behavior is evidence of reduced anxiety
and less of a need to engage in ritualistic behavior. The other observations would
indicate the need for additional treatment.
A client is prescribed fluoxetine (Prozac) for treatment of obsessive-compulsive
disorder. During the latest office visit, the client washes the hands while counting to 10
and repeats the process every 5 minutes. Which is the priority assessment for the nurse
to complete for this client?
A) The amount of medication the client is taking
B) Side effects from the medication the client is experiencing
C) Whether the client is taking the medication as prescribed
D) Foods that may be interacting with the client's medication ✅Answer: C
Explanation: Fluoxetine (Prozac) is one medication prescribed for the treatment of
obsessive-compulsive disorder. Because the client is demonstrating continuing signs of
the disorder, the nurse should assess if the client is taking the medication as prescribed.
The client would have other signs and symptoms if taking too much medication. There
are no specific foods to avoid when taking this medication. Continuing symptoms of
obsessive-compulsive disorder is not a side effect of the medication.
The nurse is providing care to a client who is diagnosed with obsessive-compulsive
disorder. Which nursing intervention is most appropriate when providing care to this
client?
A) Confront the client and ask what purpose the behavior serves.
B) Tell the client that the behavior is unacceptable and must end.
C) Interrupt the ritualistic behavior when observed.
D) Discuss the need to incorporate the behavior with other hospital routines. ✅Answer:
D
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