Chapter 28 Obsessive-Compulsive and Related Disorders, Nursing Care of People with Obsessions and Compulsions Exam Questions and Answers

Chapter 28 Obsessive-Compulsive and Related Disorders, Nursing Care of People with Obsessions and Compulsions Exam Questions and Answers

1. A client with obsessive-compulsive disorder has been taking fluoxetine for 1 month. theclient tells thenurse, These pills are making me sick. I think I’m getting a brain tumor because of theheadaches. Which response by thenurse would be most appropriate? A) Let’s talk about how often you have been performing therituals lately. B) Tell me how many times you have washed your hands today. C) Have you been practicing your deep breathing and relaxation exercises? D) These medications have side effects that can cause increased headaches. 2. A client with obsessive-compulsive disorder (OCD) is using cue cards to help restructure thought patterns. Which statements would be appropriate to include on a cue card? Select all that apply. A) These are theOCD thoughts. B) Trust myself. C) Keep on checking. D) Safety is thekey. E) I did it right thefirst time. 3. A client is diagnosed with obsessive-compulsive disorder (OCD) and is to receive medication therapy. Which of thefollowing agents might thenurse expect to be prescribed? Select all that apply. A) Clomipramine B) Lithium C) Sertraline D) Fluvoxamine E) Paroxetine F) Alprazolam 4. A woman diagnosed with obsessive-compulsive disorder comes to theclinic with her husband. During thevisit, thehusband states, She’s always checking and rechecking to make sure that all of theappliances are turned off before we go out. It’s nerve-wracking. We can never get out of thehouse on time. Isn’t checking once enough? An understanding of which of thefollowing would thenurse need toincorporate into theresponse? A) The client is attempting to exert control over thesituation. B) The client performs theritual to relieve anxiety temporarily. C) The woman’s behavior reflects a need for safety. D) The woman is attempting to use thought stopping to decrease her behavior. 5. The nurse is working with thefamily of a patient with obsessive-compulsive disorder (OCD). Which concept should thenurse incorporate in theteaching plan? A) The thoughts, images, and impulses are voluntary. B) The family should pay immediate attention to symptoms. C) The thoughts, images, and impulses tend to worsen with stress. D) OCD is a chronic disorder that does not respond to treatment. 6. The nurse has identified a nursing diagnosis of disturbed thought processes for a patient with obsessive- compulsive disorder. What abilities displayed by thepatient would be related to an appropriate outcome for this problem? Select all that apply. A) Can identify when obsessions are worsening B) Speaks of obsessions as being embarrassing behaviors C) Describes lessening anxiety when compulsive rituals are interrupted D) Plans to ignore obsessive thoughts and so minimizes resulting stress