CMN 552 UNIT 3 EXAM NEWEST ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS NEW MODIFIED
LATEST EXAM
1. What etiological factors have been attributed to the development of
OCD? Sadock p. 419-420 - ✔✔✔ correct answer > There is a
positive link between streptococcal infections and OCD.
Altered function in neurocircuitry between orbitofrontal cortex,
caudate, and thalamus. Increased activity in the frontal lobes, basal
ganglia and cingulum. Bilaterally smaller caudates.
2. Review the psychosocial factors for the development of OCD.
(Sadock, p. 420) - ✔✔✔ correct answer > OCD differs from
obsessivecompulsive personality disorder, which is associated with an
Page 1 of 138
,obsessive concern for details, perfectionism, and other similar
personality traits.
Most persons with OCD do not have premorbid compulsive symptoms,
and such personality traits are neither necessary nor sufficient for the
development of OCD. Only about 15 to 35 percent of patients with OCD
have had premorbid obsessional traits.
Many patients with OCD may refuse to cooperate with effective
treatments such as selective serotonin reuptake inhibitors (SSRis) and
behavior therapy.
Patients may become invested in maintaining the symptomatology
because of secondary gains. For example, a male patient, whose mother
stays home to take care of him, may unconsciously wish to hang on to
his OCD symptoms because they keep the attention of his mother.
Research suggests that OCD may be precipitated by a number of
environmental stressors, especially those involving pregnancy,
childbirth, or parental care of children. An understanding of the stressors
Page 2 of 138
,may assist the clinician in an overall treatment plan that reduces the
stressful events themselves or their meaning to the patient.
3. In OCD patients, what is "magical thinking"? (Sadock, p. 421) -
✔✔✔ correct answer > Persons believe that merely by thinking about
an event in the external world they can cause the event to occur without
intermediate physical actions.
In what ways can the psychiatric nurse practitioner characterize
(specify) insight in the OCD patient? (Sadock, p. 421) - ✔✔✔ correct
answer > Patients with good or fair insight recognize that their OCD
beliefs are definitely or probably not true or may or may not be true.
Patients with poor insight believe their OCD beliefs are probably true.
Patients with absent insight are convinced that their beliefs are true.
What are the diagnostic/clinical features of OCD? Sadock p.421 -
✔✔✔ correct answer > Patients with OCD often take their complaints
to physicians other than psychiatrist.
Page 3 of 138
, Most patients with OCD have both obsessions & compulsions - up to
75%. Obsessions and compulsions are the essential feature of OCD.
Sometimes, patients overvalue obsessions and compulsions, for example
they may insist that compulsive cleanliness is morally correct, even
though they have lost their jobs because of time spent cleaning.
What are the 4 major symptom patterns in OCD? Sadock p421-
422 - ✔✔✔ correct answer > -Contamination
-Pathological Doubt
-Intrusive Thoughts
-Symmetry
-Other: religious obsessions and compulsions, hair pulling, nail biting,
masturbation
1. What are the common symptoms represented in OCD? (Sadock,
p. 418) - ✔✔✔ correct answer > intrusive thoughts, rituals,
preoccupations, and compulsions
Page 4 of 138
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS NEW MODIFIED
LATEST EXAM
1. What etiological factors have been attributed to the development of
OCD? Sadock p. 419-420 - ✔✔✔ correct answer > There is a
positive link between streptococcal infections and OCD.
Altered function in neurocircuitry between orbitofrontal cortex,
caudate, and thalamus. Increased activity in the frontal lobes, basal
ganglia and cingulum. Bilaterally smaller caudates.
2. Review the psychosocial factors for the development of OCD.
(Sadock, p. 420) - ✔✔✔ correct answer > OCD differs from
obsessivecompulsive personality disorder, which is associated with an
Page 1 of 138
,obsessive concern for details, perfectionism, and other similar
personality traits.
Most persons with OCD do not have premorbid compulsive symptoms,
and such personality traits are neither necessary nor sufficient for the
development of OCD. Only about 15 to 35 percent of patients with OCD
have had premorbid obsessional traits.
Many patients with OCD may refuse to cooperate with effective
treatments such as selective serotonin reuptake inhibitors (SSRis) and
behavior therapy.
Patients may become invested in maintaining the symptomatology
because of secondary gains. For example, a male patient, whose mother
stays home to take care of him, may unconsciously wish to hang on to
his OCD symptoms because they keep the attention of his mother.
Research suggests that OCD may be precipitated by a number of
environmental stressors, especially those involving pregnancy,
childbirth, or parental care of children. An understanding of the stressors
Page 2 of 138
,may assist the clinician in an overall treatment plan that reduces the
stressful events themselves or their meaning to the patient.
3. In OCD patients, what is "magical thinking"? (Sadock, p. 421) -
✔✔✔ correct answer > Persons believe that merely by thinking about
an event in the external world they can cause the event to occur without
intermediate physical actions.
In what ways can the psychiatric nurse practitioner characterize
(specify) insight in the OCD patient? (Sadock, p. 421) - ✔✔✔ correct
answer > Patients with good or fair insight recognize that their OCD
beliefs are definitely or probably not true or may or may not be true.
Patients with poor insight believe their OCD beliefs are probably true.
Patients with absent insight are convinced that their beliefs are true.
What are the diagnostic/clinical features of OCD? Sadock p.421 -
✔✔✔ correct answer > Patients with OCD often take their complaints
to physicians other than psychiatrist.
Page 3 of 138
, Most patients with OCD have both obsessions & compulsions - up to
75%. Obsessions and compulsions are the essential feature of OCD.
Sometimes, patients overvalue obsessions and compulsions, for example
they may insist that compulsive cleanliness is morally correct, even
though they have lost their jobs because of time spent cleaning.
What are the 4 major symptom patterns in OCD? Sadock p421-
422 - ✔✔✔ correct answer > -Contamination
-Pathological Doubt
-Intrusive Thoughts
-Symmetry
-Other: religious obsessions and compulsions, hair pulling, nail biting,
masturbation
1. What are the common symptoms represented in OCD? (Sadock,
p. 418) - ✔✔✔ correct answer > intrusive thoughts, rituals,
preoccupations, and compulsions
Page 4 of 138
