MH - 15 - Obsessive-Compulsive and Related Disorders

The nursing student correctly identifies which of the following statements are true of the etiology of OCD? Select all that apply.

• The cognitive model for OCD etiology focuses on childhood and environmental experiences of growing up.

• The etiology of OCD is not definitively explained at this time.

• OCD is caused by immune dysfunction.

• The primary etiology of OCD is genetics.

• Cognitive models may partially explain why people develop OCD.

Which of the following are features of the thinking of a person who has OCD according to the cognitive model? Select all that apply.

• The person with OCD employs a minimalist approach to all aspects of his or her life.

• The person with OCD believes one's thoughts are overly important and has a need to control those thoughts as they overestimate the threat posed by their thoughts.

• The person with OCD is always aware that his or her behavior is related to OCD.

• The person with OCD is concerned with perfectionism and has an intolerance of uncertainty.

• The person with OCD has an inflated personal responsibility

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?

• The hand washing represents a way to exert independence from the staff.

• The client is not aware of the excessive hand washing.

• The client does not think anything is abnormal with washing his hands repeatedly.

• The client feels terrible but cannot stop washing his hands to try to get rid of his anxiety.

The nurse correctly identifies that which of OCDs self-soothing behaviors may involve self-destruction of the body of a person who has OCD? Select all that apply.

• Dermatillomania

• Trichotillomania

• Onychophagia

• Kleptomania

• Oniomania

The student nurse correctly identifies that which of the following are characteristics of hoarding disorder? Select all that apply.

• Excessive acquisition of animals or apparently useless things

• Cluttered living spaces that become uninhabitable

• Significant distress or impairment for the individual

• Obsessive cleaning of environment

• Disposing of articles that are of no value

The nurse is aware that a person who repeatedly seeks cosmetic surgery to correct a perceived flaw in his or her appearance may have which of the following disorders?

• Hoarding disorder

• Body dysmorphic disorder

• Pyromania

• Body identity integrity disorder

Which of the following statements about the typical history of illness that would be assessed in a client who has OCD is consistent with OCD?

• OCD usually requires hospitalization.

• OCD treatment is usually outpatient.

• OCD only affects the client's ability to perform ADLs and work, not his or her leisure life.

• Most people seek treatment as soon as they observe the symptoms.

Which of the following would be appropriate outcomes for a client with OCD? Select all that apply.

• The client will complete daily routine activities within a realistic time frame.

• The client will conceal the behavior from all persons to avoid anxiety.

• The client will stop engaging in the compulsive activity.

• The client will spend less time performing rituals.

• The client will demonstrate effective use of behavior therapy techniques.

Which of the following is the most important variable in determining the likelihood of success in improving life for a client with OCD?

• The client must be willing to make changes in his or her behavior.

• The client must acknowledge that the behavior is not in his or her control.

• The client must allow the nurse to decide the appropriate intervention for him or her.

• The client must be willing to try all new relaxation techniques.

Which of the following is an important part of therapeutic communication for clients who have OCD?

• To encourage the client to keep the obsession secret.

• To encourage the client to discuss his or her obsession with the nurse.

• The nurse must have the same obsession as the client.

• The nurse must instruct the client to discuss the obsession.