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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.
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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
Correct Answer: A
Rationale: Allowing rituals reduces anxiety, enhancing the client's sense of security, unlike distraction or stopping rituals, which may escalate distress.
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.
Correct Answer: C
Rationale: Avoiding criticism of hoarding behaviors prevents shame and supports treatment, as short-term fixes, cleanups, or single-agency solutions are ineffective.
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 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 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.