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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.
Correct Answer: A
Rationale: The client's willingness to change behavior is critical for successful OCD management, unlike acknowledging lack of control or relying solely on nurse-directed interventions.
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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 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.
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.
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.
Which of the following would be appropriate outcomes for a client with OCD?
- 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.
Correct Answer: B,C,E
Rationale: Appropriate outcomes include reduced ritual time, completing daily activities realistically, and using behavior therapy effectively, but not completely stopping rituals or concealing behaviors.