ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 26 : Obsessive Compulsive and Related Disorders Questions
Question 1 of 5
A woman diagnosed with obsessive-compulsive disorder comes to the clinic with her husband. During the visit, the husband states, She?s always checking and rechecking to make sure that all of the appliances are turned off before we go out. It?s nerve-wracking. We can never get out of the house on time. Isn?t checking once enough? An understanding of which of the following would the nurse need to incorporate into the response?
Correct Answer: B
Rationale: Compulsive behaviors in OCD, such as checking appliances, are performed to temporarily relieve anxiety (
B) caused by obsessive thoughts. Control (
A) and safety (
C) are secondary aspects, and thought stopping (
D) is a cognitive technique, not the client?s current behavior.
Question 2 of 5
The nurse is working with the family of a patient with obsessive-compulsive disorder (OCD). Which concept should the nurse incorporate in the teaching plan?
Correct Answer: C
Rationale: OCD symptoms, including intrusive thoughts and compulsions, often worsen with stress (
C), a key point for families to understand to support the patient. Thoughts are involuntary (
A), immediate attention (
B) may reinforce behaviors, and OCD is treatable (
D), though chronic.
Question 3 of 5
The nurse has identified a nursing diagnosis of disturbed thought processes for a patient with obsessive-compulsive disorder. What abilities displayed by the patient would be related to an appropriate outcome for this problem? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Appropriate outcomes for disturbed thought processes in OCD include recognizing worsening obsessions (
A), reduced anxiety when rituals are interrupted (
C), planning to ignore obsessive thoughts (
D), and limiting focus on obsessions (E). Labeling obsessions as embarrassing (
B) does not address thought process improvement.
Question 4 of 5
A client with obsessive-compulsive disorder has been taking fluoxetine for 1 month. The client tells the nurse, These pills are making me sick. I think I?m getting a brain tumor because of the headaches. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Fluoxetine, an SSRI, commonly causes headaches as a side effect, and addressing this (
D) validates the client?s concern while providing accurate information. Discussing rituals (A,
B) or relaxation techniques (
C) does not address the client?s specific concern about headaches or the medication, potentially escalating anxiety.
Question 5 of 5
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.
Correct Answer: A,B,E
Rationale: Appropriate cue card statements for OCD include identifying obsessive thoughts as OCD-related (
A), promoting self-confidence (
B), and reinforcing that initial actions are sufficient (E) to reduce compulsive checking. Encouraging checking (
C) or focusing on safety (
D) reinforces OCD behaviors and anxiety.