Chapter 18 Obsessive-Compulsive and Related Disorders Questions and Correct Answers
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Obsessive Compulsive Disorder
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Obsessive Compulsive Disorder
A client with obsessive-compulsive disorder has been taking fluoxetine for 1 month. The client tells the nurse, "These pills are making me sick. I think I'm getting a brain tumor because of the headaches." Which response by the nurse would be most appropriate?
A) "Let's talk about how often you ha...
chapter 18 obsessive compulsive and related disord
a client with obsessive compulsive disorder has be
a lets talk about how often you have been perfo
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Chapter 18 Obsessive-Compulsive and
Related Disorders Questions and
Correct Answers
A client with obsessive-compulsive disorder has been taking fluoxetine for 1 month. The
client tells the nurse, "These pills are making me sick. I think I'm getting a brain tumor
because of the headaches." Which response by the nurse would be most appropriate?
A) "Let's talk about how often you have been performing the rituals lately."
B) "Tell me how many times you have washed your hands today."
C) "Have you been practicing your deep breathing and relaxation exercises?"
D) "These medications have side effects that can cause increased headaches." ✅D)
"These medications have side effects that can cause increased headaches."
Feedback:
Individuals with obsessive-compulsive disorder need frequent reassurance that the side
effects are a common response to the medication and that they are not becoming ill.
Ignoring the client's concerns will only increase the client's anxiety.
A client with obsessive-compulsive disorder (OCD) is using cue cards to help
restructure thought patterns. Which statements would be appropriate to include on a
cue card? Select all that apply.
A) "These are the OCD thoughts."
B) "Trust myself."
C) "Keep on checking."
D) "Safety is the key."
E) "I did it right the first time." ✅A) "These are the OCD thoughts."
B) "Trust myself."
E) "I did it right the first time."
Feedback:
Cue cards are used to help the client restructure thought patterns. They contain
statements that are positively oriented and pertain to the client's specific obsessions
and compulsions, such as identifying the thoughts as OCD rather than the person,
trusting one's self, and doing it right the first time. The statements "Keep on checking"
and "Safety is the key" would reinforce the client's anxiety.
A client is diagnosed with obsessive-compulsive disorder (OCD) and is to receive
medication therapy. Which of the following agents might the nurse expect to be
prescribed? Select all that apply.
, A) Clomipramine
B) Lithium
C) Sertraline
D) Fluvoxamine
E) Paroxetine
F) Alprazolam ✅A) Clomipramine
C) Sertraline
D) Fluvoxamine
E) Paroxetine
Feedback:
Selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) are
considered to be the most effective treatment agents used for OCD. Clomipramine was
the first drug to produce significant advances in treating people with OCD. Other
medications have proved effective, including sertraline, fluoxetine, fluvoxamine, and
paroxetine. Lithium is used to treat bipolar disorder. Alprazolam may be used to treat
panic disorder.
A woman diagnosed with obsessive-compulsive disorder comes to the clinic with her
husband. During the visit, the husband states, "She's always checking and rechecking
to make sure that all of the appliances are turned off before we go out. It's nerve-
wracking. We can never get out of the house on time. Isn't checking once enough?" An
understanding of which of the following would the nurse need to incorporate into the
response?
A)The client is attempting to exert control over the situation.
B)The client performs the ritual to relieve anxiety temporarily.
C)The woman's behavior reflects a need for safety.
D) The woman is attempting to use thought stopping to decrease her behavior.
✅B)The client performs the ritual to relieve anxiety temporarily.
Feedback:
The nurse needs to explain to the woman's husband that her compulsion is done to
relieve anxiety temporarily. The compulsion is necessary, not pleasurable, and if not
performed, increased anxiety and distress occur. The compulsion is an anxiety
response, not a means to control the situation or promote safety. Thought stopping is a
mechanism used to control obsessions.
A teenager and her parents visits the clinic to discuss the teen's skin picking. There are
many bleeding wounds and various stages of scabs located up and down both arms.
The parents are very upset about this behavior and want it to stop. Which of the
following would the health care provider documents?
A) Body dysmorphic disorder
B) Disrupted family dynamics
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