ATI LPN
Psychiatric Mental Health Nursing 8th Edition
Chapter 15 Questions
Question 1 of 5
The nursing student correctly identifies which of the following statements are true of the etiology of 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.
Question 2 of 5
Which of the following are features of the thinking of a person who has OCD according to the cognitive model?
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.
Question 3 of 5
The nurse is caring for her first client with obsessive/compulsive disorder. During the treatment team meeting, the nurse shares her frustration as to the client's inability to stop washing his hands. The nurse manager offers which one of the following explanations?
Correct Answer: D
Rationale: The client's compulsive hand washing is driven by anxiety relief, not independence, unawareness, or denial of abnormality, as rituals are an attempt to manage overwhelming anxiety.
Question 4 of 5
The nurse correctly identifies that which of OCDs self-soothing behaviors may involve self-destruction of the body of a person who has OCD?
Correct Answer: A,B,C
Rationale: Dermatillomania (skin-picking), trichotillomania (hair-pulling), and onychophagia (nail-biting) are self-soothing behaviors causing physical harm, unlike kleptomania or oniomania, which are reward-seeking.
Question 5 of 5
The student nurse correctly identifies that which of the following are characteristics of hoarding disorder?
Correct Answer: A,B,C
Rationale: Hoarding disorder involves excessive acquisition, cluttered uninhabitable spaces, and significant distress or impairment, but not disposing of valueless items, which contradicts hoarding behavior.