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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.
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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
Correct Answer: C
Rationale: The desired outcome is that OCD symptoms no longer disrupt responsibilities, allowing manageable anxiety, unlike expecting complete symptom elimination or responsibility removal.
Which of the following treatment modalities is most effective for OCD?
- A. Behavioral techniques
- B. Medication
- C. Behavioral techniques and medication
- D. Ignoring it
Correct Answer: C
Rationale: Combining behavioral techniques and medication is most effective for managing OCD symptoms, as neither alone is sufficient, and ignoring it exacerbates the condition.
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.
Which of the following are important for the nurse to remember when teaching relaxation and behavioral techniques to a client with OCD?
- 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.
Correct Answer: A,B,C
Rationale: Teaching relaxation when anxiety is low or during anxiety, and ensuring willingness for exposure and response prevention, are key, but forcing techniques or skipping baseline assessments is inappropriate.
A client with OCD is admitted to the psychiatric unit. Which of the following would be most appropriate for the nurse to include in the client's care plan?
- A. Allow time for the client to perform needed rituals.
- B. Immediately stop the client from performing rituals.
- C. Teach the client that the rituals are not necessary.
- D. Distract the client with other activities whenever rituals are performed.
Correct Answer: A
Rationale: Allowing time for rituals reduces anxiety and supports the client's sense of security, unlike immediate cessation or distraction, which may increase distress.