chapter 20 OCD Questions and
Answers.
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?
A) "Let's talk about how often you have been performing the rituals lately."
B) "Tell me how many times you have washed your hands today."
C) "Have you been practicing your deep breathing and relaxation exercises?"
D) "These medications have side effects that can cause increased headaches." Answer- D) "These medications
have side effects that can cause increased headaches."
A client is diagnosed with obsessive--compulsive disorder (OCD) and is to receive medication therapy. Which of
agents might the nurse expect to be prescribed? (Select all that apply.)
A) Clomipramine
B) Lithium
C) Sertraline
D) Fluvoxamine
E) Paroxetine
F) Alprazolam Answer- A) Clomipramine
C) Sertraline
D) Fluvoxamine
E) Paroxetine
A client diagnosed with obsessive--compulsive disorder comes to the clinic with their spouse. During the visit,
, the spouse states that the client is "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 aspect of this disorder would the nurse need to incorporate into the
response?
A) The client is attempting to exert control over the situation. B) The client performs the ritual to relieve
anxiety temporarily. C) The client's behavior reflects a need for safety.
D) The client is attempting to use thought stopping to decrease her behavior Answer- B) The client performs
the ritual to relieve anxiety temporarily.
Parents visit the clinic with their teenager to discuss the teen's skin picking. Many bleeding wounds and various
stages of scabs located up and down both of the teenager's arms. The parents are very upset about this
behavior and wantit to stop. What condition does the health care provider documents?
A) Body dysmorphic disorder B) Disrupted family dynamics C) Excoriation disorder
D) Control dysfunction Answer- C) Excoriation disorder
A client explains to the health care provider that a cleaning ritual must be completed every day. If something
disrupts this cleaning schedule, what effect does the client experience?
A) Depression
B) Extreme anxiety
C) Aggression to the point of lashing out
D) Isolation from others Answer- B) Extreme anxiety
What symptoms might parents notice in their child who is exhibiting obsessive-- compulsive disorder (OCD)?
A) Is failing classes due to lack of concentration
B) Spending excessive amount of time in their room
C) Frequently "stares off into space"
D) Is jittery and nervous all the time Answer- A) Is failing classes due to lack of concentration
While providing in-serve training on the psychodynamic theory behind OCD symptoms, the nurse mentions
reaction formation. Which statement is characteristic of this theory?
Answers.
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?
A) "Let's talk about how often you have been performing the rituals lately."
B) "Tell me how many times you have washed your hands today."
C) "Have you been practicing your deep breathing and relaxation exercises?"
D) "These medications have side effects that can cause increased headaches." Answer- D) "These medications
have side effects that can cause increased headaches."
A client is diagnosed with obsessive--compulsive disorder (OCD) and is to receive medication therapy. Which of
agents might the nurse expect to be prescribed? (Select all that apply.)
A) Clomipramine
B) Lithium
C) Sertraline
D) Fluvoxamine
E) Paroxetine
F) Alprazolam Answer- A) Clomipramine
C) Sertraline
D) Fluvoxamine
E) Paroxetine
A client diagnosed with obsessive--compulsive disorder comes to the clinic with their spouse. During the visit,
, the spouse states that the client is "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 aspect of this disorder would the nurse need to incorporate into the
response?
A) The client is attempting to exert control over the situation. B) The client performs the ritual to relieve
anxiety temporarily. C) The client's behavior reflects a need for safety.
D) The client is attempting to use thought stopping to decrease her behavior Answer- B) The client performs
the ritual to relieve anxiety temporarily.
Parents visit the clinic with their teenager to discuss the teen's skin picking. Many bleeding wounds and various
stages of scabs located up and down both of the teenager's arms. The parents are very upset about this
behavior and wantit to stop. What condition does the health care provider documents?
A) Body dysmorphic disorder B) Disrupted family dynamics C) Excoriation disorder
D) Control dysfunction Answer- C) Excoriation disorder
A client explains to the health care provider that a cleaning ritual must be completed every day. If something
disrupts this cleaning schedule, what effect does the client experience?
A) Depression
B) Extreme anxiety
C) Aggression to the point of lashing out
D) Isolation from others Answer- B) Extreme anxiety
What symptoms might parents notice in their child who is exhibiting obsessive-- compulsive disorder (OCD)?
A) Is failing classes due to lack of concentration
B) Spending excessive amount of time in their room
C) Frequently "stares off into space"
D) Is jittery and nervous all the time Answer- A) Is failing classes due to lack of concentration
While providing in-serve training on the psychodynamic theory behind OCD symptoms, the nurse mentions
reaction formation. Which statement is characteristic of this theory?
