OCD Test 4

a (Rationale ​Cognitive-behavioral therapy aims to teach the client adaptive coping skills that will lower the client​'s stress and anxiety. Increase in​ self-esteem may be a result of receiving the cognitive behavioral​ therapy, but it is not the goal for the client with OCD.​ Cognitive-behavioral therapy does not aim to change a client​'s belief system.​ Cognitive-behavioral therapy will assist the client with lessening feelings of shame and anxiety.)

A client asks the nurse how​ cognitive-behavioral therapy will help her to manage her​ obsessive-compulsive disorder. Which response by the nurse is the most​ appropriate? a It teaches techniques that will help you lower stress. b It will make you feel shameful and therefore the behaviors will stop. c It will teach you ways to increase your​ self-esteem. d It will help you change your belief system.

b

A client diagnosed with OCD has been taking sertraline but would like to have more energy every day. At his monthly chekup her reports that his massage therapist recommended he take St Johns Wort to help his depression. The nurse should tell the client: a. st johns wort is a harmless herb that might be helpful in this instance b. combining st johns wort with the sertraline can cause a serious reaction called seretonin syndrome c. if you take st johns wort we will have to decrease your sertraline. d. st johns wort is not very effective for depression but we can increase your sertraline dose

c (The nurse would teach the client to avoid caffeinated beverages. Medication should be taken as prescribed. Alcohol should be limited or avoided. The client should eat a healthy​ diet, not one that is high in fat content.)

A client diagnosed with​ obsessive-compulsive disorder​ (OCD) is being discharged home. Which teaching point is appropriate to​ include? a Drink wine in the evenings to promote sleep b Eat meals high in fat content c Avoid caffeinated beverages d Take medication only when needed

c (Learning Objective The client who is exhibiting skin breakdown is experiencing the nursing diagnosis of impaired skin integrity. While the other nursing diagnoses are appropriate for a client with​ OCD, they are not a priority for this client.)

A client diagnosed with​ obsessive-compulsive disorder​ (OCD) tells the nurse that he has had feelings of apprehension that are alleviated through frequent hand washing. The​ client's hands are​ red, swollen, and the nurse notes several areas of excoriation. Based on the assessment​ findings, which nursing diagnosis is a priority for this​ client? a Impaired coping mechanisms b Alterations in sleep c Impaired skin integrity d Increased risk for anxiety

a

A client with OCD reveals he was late to his appointment because "of my dumb habit. I have to take off my socks and put them back on 41 times! I cannot stop until I do it just right." The nurse interprets the clients behavior as MOST likely representing an effort to obtain: a. a relief from anxiety b. control of his thoughts c. attention from others d. safe expression of hostility

b (the nurse should never take away a ritual, panic will ensue, the nurse should work with the client later to slowly set limits on frequency of the action)

A client with OCD who was admitted early yesterday morning, must make his bed 22 times before he can have breakfast. Because of this behavior, the client missed having breakfast yesterday with the other clients. Which action should the nurse institute to help the client be on time for breakfast? a. Tell the client to make his bed only one time b. wake the client an hour earlier to perform his ritual c. insist that the client stop his activity when it is time for breakfast d. advise the client to have breakfast first before making his bed

b

A client with obsessive compulsive disorder​ (OCD) washes her hands up to 100 times each day. What is this client at risk​ for? a Impaired socialization b Impaired skin integrity c Alterations in family processes d Alterations in sleep

c (Rationale: The client is exhibiting fear of contamination and exposure to germs; therefore the priority diagnosis would be fear. The client is not demonstrating a knowledge deficit. While the client may also be experiencing stress and anxiety they would not be the priority diagnosis.)

A client with obsessive-compulsive disorder (OCD) is continuously washing the hands and bathing. The nurse concludes that this client has a fear of contamination. Which diagnosis is priority for this client? a Deficient Knowledge b Stress Overload c Fear d Anxiety

a (Rationale SSRIs are the​ first-line therapy for clients with OCD. Oral hypoglycemics and anticonvulsant agents are not indicated for this disorder. Antipsychotics are used in the treatment of​ OCD, but are not considered first line therapy.)

A client with​ obsessive-compulsive disorder​ (OCD) is admitted to an inpatient unit for treatment of the disorder. Which classification of medications can the nurse expect the healthcare provider to order as first line therapy for treatment of​ OCD? a Selective serotonin reuptake inhibitors​ (SSRI) b Antipsychotics c Anticonvulsants d Oral hypoglycemic agents

c (Rationale The only statement that is correct in this scenario is reducing anxiety. Clients with OCD perform rituals to control intrusive​ thoughts, not to check the safety of the​ home, to control​ others, or to call attention to themselves.)

A client with​ obsessive-compulsive disorder​ (OCD) tells the nurses that he checks the locks to his house 10 times before leaving in the morning for work. The​ client's mother does not understand why her son does this. The nurse bases her response on which rationale for the​ behavior? a Call attention to himself b Check the safety of the home c Reduce anxiety d Control others

c

A nurse observes a client who has OCD repeatedly applying removing and reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons? a. narcissistic behavior b. fear of rejection from staff c. attempt to reduce anxiety d. adverse affect of antidepressant med

1,2,3 (refraining from performing rituals demonstrates that the client manages stress appropriately. Using "thought stopping" demonstrates the clients ability to employ appropriate interventions for obsessive thoughts. Verbalizing the relationship between stress and behaviors indicates that the client understands the disease process. Avoiding stressful situations, and rationalizing or hiding ritualistic behaviors are maladaptive methods of managing stress and anxiety)

A nurse recognizes improvement in a client with the nursing diagnosis of ineffective role performance related to the need to perform rituals. Which behaviors indicate improvement? select all that apply: 1. the client refrains from performing rituals during stress 2. the client verbalizes using "thought stopping" when obsessive thoughts occur. 3. The client verbalizes the relationship between stress and ritualistic behaviors. 4. The client avoids stressful situations. 5. The client rationalizes ritualistic behavior. 6. The client performs ritualistic behaviors in private.

b

A patient diagnosed with obsessive-compulsive disorder (OCD) continually carries a toothbrush, and will brush and floss up to fifty times each day. The healthcare provider understands that the patient's behavior is an attempt to accomplish which of the following? Choose 1 answer: Choose 1 answer: a Avoid interacting with others b Relieve anxiety c Promote oral health d Experience pleasure

1,2,4 (compulsions involve symbolic rituals that relieve anxiety when they are performed. The disorder is caused by anxiety from obsessive thoughts and acts are seen as irrational. )

An 8-year-old child diagnosed with OCD is admitted by the nurse to a psych facility. During the admission assessment, which behaviors would be characterized as compulsions? 1. checking and rechecking the television is turned off before going to school 2. repeatedly washing the hands 3. brushing teeth 3 times a day 4. routinely climbing up and down a flight of stairs three times before leaving the house 5. feeding the dog the same meal everyday 6. wanting to play the same video game each night

a,e (Rationale: Allowing additional time for the client to complete the ritual and setting limits on the amount of time the client is allowed to complete the ritual are therapeutic interventions for this client. Interrupting the client​'s ritual causes additional stress and anxiety and is not therapeutic. Cancelling the client​'s breakfast is not therapeutic. Placing the client in restraints is inappropriate.)

At an inpatient​ facility, the client with obsessive compulsive disorder​ (OCD) counts the number of tiles on the floor each morning before going to breakfast. This ritual takes the client 30 minutes and the client always misses breakfast. Which interventions by the nurse can assist the client in arriving to breakfast prior to the meal​ ending? Select all that apply. a Allow additional time in the client​'s morning routine to include ritual before breakfast. b Escort the client to the dining area and place in restraints. c Cancel breakfast and make the client wait until lunch to eat. d Interrupt the client​'s ritual and demand that he go to breakfast now. e Set limits on the amount of time the client performs the ritual.

d (Referral for​ cognitive-behavioral therapy, administering an SSRI as​ ordered, and teaching the client coping mechanisms are all appropriate nursing interventions. Interrupting the client may increase the​ client's anxiety and telling the client that it is not necessary to wash her hands so often may increase the​ client's feelings of shame.)

A​ 21-year-old female​ client, Grace, presents to the urgent care center with complaints of​ irritated, dry, and bleeding skin on her hands. As the nurse is talking to the​ client, you observe her get up and go to the sink and wash her hands five times. Which nursing intervention is not appropriate for​ Grace? a Refer the client for cognitive behavioral therapy b Teach the client alternative coping mechanisms c Administer SSRIs as ordered d Interrupt the​ client's hand washing ritual and tell her it is not necessary for her to wash her hands five times

a (Rationale ​Twenty-five percent of all males with OCD are diagnosed prior to the age of 10. Males and females are equally​ affected; however, the males are at an earlier age when the disease occurs. Manifestations of OCD are seen in​ children, adolescents, and young adults. Children with OCD have a​ 40% chance of experiencing remission by the time they reach adulthood.)

A​ school-age male client checks and rechecks the locks on the doors of his home at least 15 times before leaving for school in the morning. The client​'s mother brings him to the healthcare provider​'s office today for a​ check-up. Which statement by the nurse is most appropriate in regard to the etiology of​ obsessive-compulsive disorder​ (OCD)? ​a Twenty-five percent of all males with OCD experience symptoms prior to age 10. b Children have a low chance of experiencing a remission of the disease. c Manifestations of OCD occur only in children. d Females are affected more than males.

c

During a panic attack, a patient states, "I feel like I'm going to die!" The patient is hyperventilating, tachycardic, and reports feeling upper extremity numbness and tingling. Based on this patient's presentation, the healthcare provider would anticipate which additional clinical manifestation of the panic attack? Choose 1 answer: A Kussmaul respirations B Respiratory acidosis C Respiratory alkalosis D Hypercapnia

d (OCD is often diagnosed through the client history.​ Psychotherapy, cognitive-behavioral​ therapy, and deep brain stimulation are treatment options for OCD.)

How is​ obsessive-compulsive disorder​ (OCD) diagnosed? ​a Cognitive-behavioral therapy b Psychotherapy c Deep brain stimulation d Client history

c (While assessing the​ client's psychosocial​ history, it is appropriate for the nurse to determine the substance abuse​ history, including the drug of choice. All the other responses by the nurse are more appropriate during the physical examination portion of the nursing assessment.)

Jennifer​ Shubert, a​ 20-year-old college​ student, is seeking treatment for​ obsessive-compulsive disorder​ (OCD). You enter the examination room and prepare to complete the psychosocial history for this client. Which response to the client is most appropriate for the psychosocial history portion of the nursing​ assessment? ​a "Will you roll up your sleeve so I can take your blood​ pressure?" ​b "I must complete a head to toe examination. Can you change into this​ gown?" ​c "I see that you have a history of substance abuse. What was your drug of​ choice?" ​d "Would it be ok if I looked at your​ skin? Your hands appear to be​ excoriated."

a (All therapies are indicated for the treatment of​ obsessive-compulsive disorder except benzodiazepines. Benzodiazepines are used for other anxiety disorders but are not useful for OCD.)

Katrina​ Wilson, a​ 20-year-old college​ student, is recently diagnosed with​ obsessive-compulsive disorder. Katrina asks you what she can do to treat her problem. Which treatment option should not be included in the answer you provide to​ Katrina? a Benzodiazepines b Cognitive behavioral therapy c Tricyclic antidepressants d Brain stimulation therapy

b (One of the risk factors for developing​ obsessive-compulsive disorder​ (OCD) is a traumatic event during​ childhood, such as a tragic car accident. The HPV​ immunization, a maternal history of​ depression, and a paternal history of coronary artery disease​ (CAD) are not risk factors for coronary artery disease​ (CAD).)

Sonya​ Moore, 25 years of​ age, presents with the following​ symptoms: complaints of​ stress, fear of an intruder breaking into the​ home, and the need to constantly check and recheck all locks and doors. Sonya is diagnosed with​ obsessive-compulsive disorder​ (OCD). Which item in​ Sonya's health history placed her at an increased risk for developing​ OCD? a Paternal history of coronary artery disease​ (CAD) b Tragic car accident during childhood c Maternal history of depression d HPV immunization as an adolescent

a,d (OCD is characterized by intrusive thoughts or urges and by repetitive mental or behavioral acts. If the patient's behaviors are related to substance abuse, the patient is not diagnosed with OCD. Patients diagnosed with OCD do not experience hallucinations. Hair pulling and skin picking are different disorders and not characteristic of OCD. OCD is characterized by intrusive thoughts or urges (obsessions) that compel the patient to perform repetitive mental or behavioral acts (compulsions). The obsessions and compulsions are typically time-consuming and often impair social, occupational, or other important areas of functioning.)

The healthcare provider is teaching a class on obsessive-compulsive disorder (OCD). Which of the following will be included in the teaching? Choose all answers that apply: a Obsessions and compulsions are time-consuming b The patient often hears voices that direct the behavior c The behavior is sometimes related to substance abuse d The obsessions are intrusive and unwanted e Repeating words silently is an example of an obsession f Hair pulling or skin picking are common features

c ( Feedback Rationale: There is an alteration in serotonin synthesis in the brains of children and adolescents who develop OCD. The chemical imbalance is not associated with panic attacks, specific phobias, or agoraphobia.)

The nurse caring for a 10-year-old who is being evaluated for a mental disorder suspects that the child has an alteration in serotonin synthesis when which disorder is observed? a Specific phobias b Agoraphobia c Childhood obsessive-compulsive disorder (OCD) d Panic attacks

b (Rationale Children with previous streptococcal infections are at risk for developing OCD. Clinical manifestations of OCD typically occur in children and young adults. Diagnosis of OCD is difficult due to the variations in clinical presentation. Brain imaging in clients with OCD is abnormal.)

The nurse educator is teaching a group of students about​ obsessive-compulsive disorder​ (OCD). Which statement will the educator include in the teaching session regarding​ OCD? a Diagnosis of OCD is easy. b Children who have had a streptococcal infection may be at risk of developing the disorder. c Brain imaging in clients with OCD is normal. d Signs and symptoms of OCD occur in older adults.

c (Rationale Clients diagnosed with OCD repeat behaviors over a short period of time in the absence of the need to perform these behaviors. Visual and auditory hallucinations are seeing things that are not there and hearing things that are not​ there, respectively, not repeated behaviors. Illogical thinking involves thoughts and ideas running together in the thought​ process, not repeated behaviors.)

The nurse is assessing the mental health of a female adult client who has been under stress at work. The client wants to wash her hands every 2 to 3 minutes and wipes the flat surface areas in the clinic with a paper towel while talking to the nurse. Which aspect of​ obsessive-compulsive disorder​ (OCD) is this client​ exhibiting? a Auditory hallucinations b Visual hallucinations c Repetitive behavior d Illogical thinking

a (Rationale: Studies have shown that young children experiencing OCD have recently had strep throat. It is thought that an antibody against strep acts on the brain enzymes and disrupts communication between neurons. Bed-wetting, eating disorders, and attention deficit disorder are not associated with development of OCD.)

The nurse is caring for a child admitted with a possible diagnosis of obsessive-compulsive disorder (OCD). During the admission assessment, the nurse is gathering historical data. Which concern would the nurse ask the parents about? a History of recent streptococcus infection b History of attention deficit disorder c History of eating disorders d History of bed-wetting

a.b.d.e (Rationale: Repetitive behaviors are a hallmark sign of OCD. Physical complaints can be seen in patients who perform repetitive activities such as hand washing. Signs of distress or increased anxiety can be seen in clients when they feel compelled to complete rituals. The ritual is the client​'s way of resolving the anxiety. A happy and overly excited affect is not a clinical manifestation associated with OCD.)

The nurse is caring for a client with​ obsessive-compulsive disorder​ (OCD) . Which clinical manifestations would the nurse expect to see in this​ client? Select all that apply. a Intrusive thoughts b Physical complaints such as irritated skin c Happy and overly excited affect d Signs of distress and increased anxiety e Repetitive actions or motions

c,d (Rationale Assessment findings that illustrate the repetitive acts associated with OCD include constant hand washing and the need to lock and unlock doors. The other findings would not support the repetitive acts associated with OCD.)

The nurse is conducting a nursing assessment for a client diagnosed with​ obsessive-compulsive disorder​ (OCD). Which findings are indicative of the repetitive acts associated with ​OCD? Select all that apply. a Underweight and appears older than stated age b Poor posture and altered motor skills c Constant hand washing d The need to lock and unlock doors e Poor grooming and stained clothing

a,c (Rationale ​Cognitive-behavioral therapy is a recommended treatment for OCD to assist the client with learning new coping skills. While not a​ first-line treatment,​ antipsychotics, such as​ risperidone, may be used in the treatment of OCD when the client has not responded to selective serotonin reuptake inhibitors​ (SSRIs). No information is available on the effectiveness of herbal supplements in the treatment of OCD. Antihypertensive agents are not indicated in the treatment of OCD.)

The nurse is educating a client diagnosed with​ obsessive-compulsive disorder​ (OCD) on the different therapies that are available for the disorder. Which therapies are appropriate for the nurse to include in the teaching​ session? Select all that apply. a Antipsychotic medication b Antihypertensive agents ​c Cognitive-behavioral therapy d Herbal​ supplements, such as St. John​'s wort e Hypoglycemic agents

a,b,e (Rationale Verbalization of feelings will assist the client with reducing stress and anxiety. The client with OCD needs to learn new coping skills to manage the intrusive thoughts that lead to the performance of rituals. Allowing time in a client​'s daily schedule to perform the ritual will allow the client to complete the ritual and still manage daily activities. A loud environment is not recommended. Interrupting a client​'s ritual may lead to increased anxiety and is not​ recommended, unless it is harmful to the client.)

The nurse is providing care to a client with​ obsessive-compulsive disorder​ (OCD). Which interventions are appropriate for this​ client? Select all that apply. a Encourage the client to verbalize his or her feelings. b Assist the client with developing new coping mechanisms. c Interrupt the​ ritual, using distraction. d Establish a loud and fun environment for the client. e Include time in the daily routine to perform the ritual.

a,c,e (Rationale Items in the client​'s history that increase the risk of OCD include the death of the mother at a young​ age, domestic​ abuse, and sexual abuse as a child. A sister with depression and having a father who suffers from substance abuse are not risk factors for developing OCD.)

The nurse is reviewing the health history of a client who will be seen later in the day. Which items place this client at risk for developing​ obsessive-compulsive disorder​ (OCD)? Select all that apply. a Death of the mother at a young age b A sister with depression c Sexual abuse as a child d Paternal substance abuse e Domestic abuse

a,d (Rationale Appropriate questions for the nurse to include in the assessment of this client include asking the client when the behavior started and if it interferes with daily life. The other questions are not helpful in evaluating this client.)

The nurse observes an adult client pacing the room and wringing his hands. The client checks the lock on the exam room door 12 times after the nurse enters the room. Which assessment questions would be appropriate when evaluating this ​client? Select all that apply. a "Does this behavior interfere with your daily ​life? ​b "What would happen if you were​ dead?" c "Does anyone in your family suffer from ​depression? " d "How old were you when you first started this ​behavior? " ​e "Are you easily​ annoyed?"

b (Rationale Clients with a successful medication regimen may be on therapy for 1dash-2 years and then be tapered off the medication while observing for symptom exacerbation. Individual client response will determine whether the client needs to be on medications for​ short-term or​ long-term use. All medications have side effects and clients should be taught about the side effects. Medications are effective in the management of OCD.)

The nurse teaches a client about medications used in the treatment of​ obsessive-compulsive disorder​ (OCD). Which client statement indicates appropriate understanding of the teaching​ session? a "Medications are not effective in the treatment of OCD. " b "I may only have to take medication for​ 1-2 years and gradually be weaned " c "I will have to take medication for the rest of my life. " d "There are no side effects associated with this medication.

c (Rationale Additional time will allow the client to complete the ritual and continue with other activities. Interrupting the client​'s ritual will only increase the client​'s stress and anxiety. A statement indicating that the son will never get better indicates the need for further education. Medication alone is often not effective in the treatment of OCD. A combination of​ cognitive-behavioral therapy and medication is recommended.)

The nurse teaches the family of a child recently diagnosed with​ obsessive-compulsive disorder​ (OCD) what to expect from their child. Which statement by the family indicates effective​ client/family teaching? a "I will interrupt my son​'s counting every morning. b "My son only needs to take his medication and then his symptoms will disappear. " c "I will allow additional time for breakfast in order for my son to complete his ritual " d "My son will never get better.

b,e (Rationale: Symptoms of symmetry obsessions might include the need to have objects in fixed and symmetrical positions, repetitive movements, and counting or spelling. Frequent checking of door locks is a typical checking compulsion. Brushing the teeth repeatedly is common with cleaning compulsions, and acquiring unneeded items is a collecting compulsion.)

The nurse, caring for a client who demonstrates obsessive-compulsive disorder including symmetry obsessions with ordering, would expect to assess which behaviors in this client? (Select all that apply.) a Frequently checking that doors are locked at night b Repeating movements c Brushing the teeth seven times a day d Compulsive acquisition of items on sale e Counting or spelling silently or out loud

a,d,e (Rationale: Risk factors for developing obsessive compulsive disorder include having a first-degree relative with this disorder and a history of childhood sexual or physical abuse. It affects men and women equally; however it does develop earlier in men. The severity of obsessive-compulsive disorder is measured by the amount of time the client spends in the compulsive behavior mode; it ranges from mild, which is less than 1 hour, to extreme, which is constant. The client with 1-3 hours of behavior per day is displaying moderate OCD, and the client with 3-8 hours of behavior per day is displaying severe OCD.)

The nursing instructor is preparing to educate a group of students on the risk factors of obsessive compulsive disorder (OCD). Which are risk factors for developing OCD? (Select all that apply.) a A history of childhood physical abuse b Being an adolescent male c Being an adolescent female d Having a first-degree relative with the disorder e A history of childhood sexual abuse

b (One of the risk factors for developing OCD is childhood sexual abuse.​ Vaccinations, allergies, and substance abuse are not risk factors for developing OCD.)

What is a risk factor for developing​ obsessive-compulsive disorder​ (OCD)? a Vaccinations b Sexual abuse c Allergies d Substance abuse

c

When caring for a patient during an acute panic attack, which of the following actions by the healthcare provider is most appropriate? Choose 1 answer: Choose 1 answer: A Ask open-ended questions to encourage communication B Use distraction techniques to change the patient's focus C Offer the patient reassurance of safety and security D Explore common phobias associated with panic attacks

b.c.d (Nursing interventions for clients with OCD include encouraging alternate activities to distract from​ compulsions, planning client teaching after completion of​ rituals, and teaching clients about prescribed medications. You would not interrupt ritual​ behaviors, as​ clients' feelings of having control and mitigating anxiety are closely associated with completing these behaviors. You would decrease demands on the​ client, not increase them.)

Which are nursing interventions for clients with​ obsessive-compulsive disorder? Select all that apply. a Increase demands on the client b Teach about prescribed medications c Plan client teaching after completion of rituals d Encourage alternate activities to distract from compulsions e Interrupt ritual behaviors to discourage the client from doing them

d ( Feedback Rationale: This comment demonstrates a reduction in the performance of a ritualistic behavior. The other comments demonstrate denial and inadequate coping skills.)

Which comment made by a client diagnosed with obsessive compulsive disorder (OCD) would indicate to the nurse a positive outcome? a "I don't see what is wrong with washing my hands every hour." b "If I cannot spell everything that I read aloud, I would rather stay in bed all day." c "I no longer wash my hands every 5 minutes but I do clean the door knobs every hour." d "I am able to sleep through the night and no longer get up every hour to check that the door is locked."

c (Rationale: Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that corrects the imbalance of serotonin in anxiety disorders such as obsessive-compulsive disorder. Fluphenazine is an antipsychotic and not appropriate for anxiety disorders. Lorazepam is a sedative with central nervous system depressive side effects that is used mostly for sedation and to manage status epilepticus. Tegretol is used mainly for seizure disorders.)

Which medication would the nurse expect to administer to a client who is experiencing ritualistic behavior that interferes with job performance and activities of daily living? a Fluphenazine (Prolixin) b Lorazepam (Ativan) c Fluoxetine (Prozac) d Carbemazepine (Tegretol)

d (An appropriate nursing diagnosis for a client diagnosed with OCD is alterations in sleep. Potential for​ infection, increased activity​ tolerance, and impaired airway clearance are not appropriate nursing diagnoses for this client.)

Which nursing diagnosis is appropriate for a client diagnosed with​ obsessive-compulsive disorder​ (OCD)? a Potential for infection b Impaired airway clearance c Increased activity tolerance d Alterations in sleep

d (Defense mechanisms are used when there is a threat to the patient's psychological integrity. The patient diagnosed with OCD will use this defense mechanism to deal with intolerable levels of anxiety. The patient attempts to substitute the anxiety with a behavior which is maladaptive. Undoing is a way of symbolically canceling out (negating) an experience that the patient finds intolerable. The compulsive behavior is designed to counteract or undo the patient's obsession.)

Which of the following defense mechanisms may be observed in a patient diagnosed with obsessive-compulsive disorder (OCD)? Choose 1 answer: Choose 1 answer: a Regression b Projection c Denial d Undoing

b (Selective serotonin reuptake inhibitors are used in the treatment of OCD. ACE inhibitors are not used in the treatment of OCD. Sulfonylureas are not used in the treatment of OCD. Diuretics are not used in the treatment of OCD.)

Which pharmacologic agent is used in the treatment of​ obsessive-compulsive disorder​ (OCD)? a Sulfonlyureas b Selective serotonin reuptake inhibitors c Diuretics d ACE inhibitors

d (A client with​ obsessive-compulsive disorder has a need for symmetry and precision and therefore would not tolerate randomly placed objects. Trichotillomania​ (hair pulling),​ hoarding, and nail biting are all symptom patterns commonly exhibited by clients with​ obsessive-compulsive disorder.)

Which symptom pattern is NOT indicative of a client with​ obsessive-compulsive disorder? a Hoarding b Nail biting c Trichotillomania d Randomly placed objects

b (Rationale: Obsession is defined as a recurrent or persistent, unwanted thought or image that causes marked anxiety and distress and results in actions or compulsions. Compulsion is a need to perform an action aimed at reducing anxiety such as repetitive behaviors or a mental activity such as counting)

Which would the nurse consider an obsession? a Repetitive behaviors b Recurrent and persistent thoughts or images c Counting d Acts aimed at reducing anxiety