Deck 15: Obsessivecompulsive and Related Disorders

Question 1

The nursing student correctly identifies which of the following statements are true of the etiology of OCD? Select all that apply.

A) The cognitive model for OCD etiology focuses on childhood and environmental experiences of growing up.
B) The etiology of OCD is not definitively explained at this time.
C) OCD is caused by immune dysfunction.
D) The primary etiology of OCD is genetics.
E) Cognitive models may partially explain why people develop OCD.

Answer 1

The cognitive model for OCD etiology focuses on childhood and environmental experiences of growing up.
The etiology of OCD is not definitively explained at this time.
Cognitive models may partially explain why people develop OCD.

Question 2

Which of the following are features of the thinking of a person who has OCD according to the cognitive model? Select all that apply.

A) The person with OCD employs a minimalist approach to all aspects of his or her life.
B) The person with OCD believes one's thoughts are overly important and has a need to control those thoughts as they overestimate the threat posed by their thoughts.
C) The person with OCD is always aware that his or her behavior is related to OCD.
D) The person with OCD is concerned with perfectionism and has an intolerance of uncertainty.
E) The person with OCD has an inflated personal responsibility

Answer 2

The person with OCD believes one's thoughts are overly important and has a need to control those thoughts as they overestimate the threat posed by their thoughts.
The person with OCD is concerned with perfectionism and has an intolerance of uncertainty.
The person with OCD has an inflated personal responsibility

Question 3

The nurse is caring for her first client with obsessiveñcompulsive disorder. During the treatment team meeting, the nurse shares her frustration as to the client's inability to stop washing his hands. The nurse manager offers which one of the following explanations?

A) The hand washing represents a way to exert independence from the staff.
B) The client is not aware of the excessive hand washing.
C) The client does not think anything is abnormal with washing his hands repeatedly.
D) The client feels terrible but cannot stop washing his hands to try to get rid of his anxiety.

Answer 3

The client feels terrible but cannot stop washing his hands to try to get rid of his anxiety.

Question 4

The nurse correctly identifies that which of OCDs self-soothing behaviors may involve self-destruction of the body of a person who has OCD? Select all that apply.

A) Dermatillomania
B) Trichotillomania
C) Onychophagia
D) Kleptomania
E) Oniomania

Question 5

The student nurse correctly identifies that which of the following are characteristics of hoarding disorder? Select all that apply.

A) Excessive acquisition of animals or apparently useless things
B) Cluttered living spaces that become uninhabitable
C) Significant distress or impairment for the individual
D) Obsessive cleaning of environment
E) Disposing of articles that are of no value

Question 6

The nurse is aware that a person who repeatedly seeks cosmetic surgery to correct a perceived flaw in his or her appearance may have which of the following disorders?

A) Hoarding disorder
B) Body dysmorphic disorder
C) Pyromania
D) Body identity integrity disorder

Question 7

Which of the following statements about the typical history of illness that would be assessed in a client who has OCD is consistent with OCD?

A) OCD usually requires hospitalization.
B) OCD treatment is usually outpatient.
C) OCD only affects the client's ability to perform ADLs and work, not his or her leisure life.
D) Most people seek treatment as soon as they observe the symptoms.

Question 8

Which of the following would be appropriate outcomes for a client with OCD? Select all that apply.

A) The client will stop engaging in the compulsive activity.
B) The client will spend less time performing rituals.
C) The client will complete daily routine activities within a realistic time frame.
D) The client will conceal the behavior from all persons to avoid anxiety.
E) The client will demonstrate effective use of behavior therapy techniques.

Question 9

Which of the following is the most important variable in determining the likelihood of success in improving life for a client with OCD?

A) The client must be willing to make changes in his or her behavior.
B) The client must acknowledge that the behavior is not in his or her control.
C) The client must allow the nurse to decide the appropriate intervention for him or her.
D) The client must be willing to try all new relaxation techniques.

Question 10

Which of the following is an important part of therapeutic communication for clients who have OCD?

A) To encourage the client to keep the obsession secret.
B) To encourage the client to discuss his or her obsession with the nurse.
C) The nurse must have the same obsession as the client.
D) The nurse must instruct the client to discuss the obsession.

Question 11

Which of the following interventions by the nurse will increase the client's sense of security?

A) Allowing the client to perform the rituals
B) Distracting the client from rituals with other activities
C) Encouraging the client to talk about the purpose of the rituals
D) Stopping the client from performing the rituals

Question 12

Before eating a meal, a client with obsessiveñcompulsive disorder must wash her hands for 14 minutes, comb her hair for 114 strokes, and switch the light off and on 44 times. When evaluating the progress of the client, what is the most important treatment objective for this client?

A) Allow ample time for completion of all rituals before each meal.
B) Gradually decrease the amount of time spent for performing rituals.
C) Increase the client's acceptance of the need for medication to control rituals.
D) Omit one ritualistic behavior every 4 days until all rituals are eliminated.

Question 13

Which of the following treatment modalities is most effective for OCD?

A) Behavioral techniques
B) Medication
C) Behavioral techniques and medication
D) Ignoring it

Question 14

Which of the following is essential for the nurse to communicate to the client with OCD and to the client's family?

A) The client's diagnosis should be kept secret from everyone outside the immediate family and friends.
B) The importance of medication compliance and that it may be necessary for medication to be changed to find the one that works best.
C) It is important for the client to avoid following a routine.
D) It is helpful for others to give unsolicited advice about other activities the client with OCD can engage in.

Question 15

The nurse is providing education to a group of persons from several community agencies about hoarding by elder persons. Which of the following is important for the nurse to emphasize?

A) Treatment will likely start to be effective in the short term.
B) If the person had help to clean up his or her environment, the hoarding would be cured.
C) It is not beneficial to tell the client that his or her thoughts and rituals interfere with his or her life or that his or her ritual actions really have no lasting effect on anxiety.
D) One agency should be able to address all of the client's needs.

Question 16

Which of the following is the desired outcome for a client with OCD?

A) That the client will no longer experience any signs or symptoms of OCD
B) That the client will no longer experience anxiety
C) That the OCD symptoms no longer interfere with the client's responsibilities
D) To relieve the client with OCD of any responsibilities

Question 17

Which of the following are important for the nurse to remember when teaching relaxation and behavioral techniques to a client with OCD? Select all that apply.

A) It is important to teach the client to use relaxation techniques when the client's anxiety is low.
B) The nurse may teach the client about relaxation techniques when the client is experiencing anxiety.
C) The client must be willing to engage in exposure and response prevention.
D) The client must be forced to use relaxation techniques.
E) It is unnecessary to assess the baseline of ritualistic behaviors in the client with OCD.

Question 18

The student nurse correctly identifies that which one of the following statements is true regarding clients with OCD?

A) Since the client is aware that his or her behavior is bizarre, the client should just stop the behavior.
B) Clients with OCD seem normal on the outside but suffer from overwhelming fear and anxiety.
C) Once a person is successfully treated for OCD, he or she has been cured.
D) Persons with OCD must avoid stress.