ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 26 : Obsessive Compulsive and Related Disorders Questions
Question 1 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 2 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 3 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 4 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.
Question 5 of 5
A client is diagnosed with obsessive-compulsive disorder (OCD) and is to receive medication therapy. Which of the following agents might the nurse expect to be prescribed? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Clomipramine (
A), sertraline (
C), fluvoxamine (
D), and paroxetine (E) are SSRIs or TCAs commonly prescribed for OCD due to their efficacy in reducing obsessive-compulsive symptoms. Lithium (
B) is used for bipolar disorder, and alprazolam (F), a benzodiazepine, is not a first-line treatment for OCD.