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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.
Correct Answer: B
Rationale: Clients with OCD often appear normal but experience significant internal anxiety, unlike assumptions of easy behavior cessation, permanent cures, or complete stress avoidance.
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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.
Correct Answer: B
Rationale: Encouraging discussion of obsessions fosters therapeutic trust and insight, unlike secrecy, shared obsessions, or mandating discussion, which are not therapeutic.
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.
Correct Answer: B
Rationale: OCD treatment is typically outpatient, as hospitalization is rare unless rituals severely disrupt daily life, which includes work, ADLs, and leisure; most delay seeking treatment.
The nurse correctly identifies that which of OCDs self-soothing behaviors may involve self-destruction of the body of a person who has OCD?
- A. Dermatillomania
- B. Trichotillomania
- C. Onychophagia
- D. Kleptomania
- E. Oniomania
Correct Answer: A,B,C
Rationale: Dermatillomania (skin-picking), trichotillomania (hair-pulling), and onychophagia (nail-biting) are self-soothing behaviors causing physical harm, unlike kleptomania or oniomania, which are reward-seeking.
The student nurse correctly identifies that which of the following are characteristics of hoarding disorder?
- 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. Disposing of articles that are of no value
Correct Answer: A,B,C
Rationale: Hoarding disorder involves excessive acquisition, cluttered uninhabitable spaces, and significant distress or impairment, but not disposing of valueless items, which contradicts hoarding behavior.
The nursing student correctly identifies which of the following statements are true of the etiology of OCD?
- 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.
Correct Answer: A,B,E
Rationale: The cognitive model highlights childhood and environmental influences, and partially explains OCD, but the etiology remains unclear, with genetics and immune dysfunction as contributing, not sole, factors.