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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.
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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.
Before eating a meal, a client with obsessive/compulsive 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.
Correct Answer: B
Rationale: Gradually reducing ritual time is key to restoring functional daily routines, unlike allowing full rituals, focusing solely on medication, or abrupt ritual elimination.
Which of the following are features of the thinking of a person who has OCD according to the cognitive model?
- 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
Correct Answer: B,D,E
Rationale: OCD thinking involves overestimating thought importance, perfectionism, intolerance of uncertainty, and inflated responsibility, but not minimalism or constant awareness of OCD-related 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.
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.