Chapter 15 Psych Nursing A+ Solutions
1. The nursing student correctly identifies which of the following statements are true
of the etiology of OCD? Select all that apply.
A) The cognitive model for OCD etiology focuses on childhood and environmental
experiences of growing up.
B) The etiology of OCD is not definitively explained at this time.
C) OCD is caused by immune dysfunction.
D) The primary etiology of OCD is genetics.
E) Cognitive models may partially explain why people develop OCD. - ANS-Ans: A, B, E
Feedback:
Different studies of the etiology of OCD show promise, but have yet to definitively
explain how or why people develop OCD. Cognitive models of OCD have been long
accepted as a partial explanation for OCD. The cognitive model focuses on childhood
and environmental experiences of growing up. Heritable, genetic factors are a
significant influence on thinking, and environmental influences are not solely
responsible. Immune dysfunction may play a role in the etiology of OCD.
2. Which of the following are features of the thinking of a person who has OCD
according to the cognitive model? Select all that apply.
A) The person with OCD employs a minimalist approach to all aspects of his or her
life.
B) 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. C)
The person with OCD is always aware that his or her behavior is related to OCD. D)
The person with OCD is concerned with perfectionism and has an intolerance of
uncertainty.
E) The person with OCD has an inflated personal responsibility - ANS-Ans: B, D, E
Feedback:
The cognitive model describes the person's thinking as (1) believing one's thoughts are
overly important; that is, ìIf I think it, it will happen,î and therefore having a need to
control those thoughts; (2) perfectionism and the intolerance of uncertainty; and (3)
inflated personal responsibility (from a strict moral or religious upbringing) and
overestimation of the threat posed by one's thoughts. The person with OCD would not
employ a minimalist approach to all aspects of his or her lifeóhe or she is likely to
perform some tasks at extreme levels. The persons with OCD may not always be aware
that their behavior is related to OCD.
3. The nurse is caring for her first client with obsessiveñcompulsive 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?
A) The hand washing represents a way to exert independence from the staff.
B) The client is not aware of the excessive hand washing.
C) The client does not think anything is abnormal with washing his hands repeatedly.
D) The client feels terrible but cannot stop washing his hands to try to get rid of his
anxiety. - ANS-Ans: D
Feedback:
It may be difficult for nurses and others to understand why the person cannot simply
stop performing the bizarre behaviors interfering with his or her life. Nurses must
understand what anxiety behaviors are and how anxiety behaviors work, not just for
client care but to help understand the role anxiety plays in performing nursing
responsibilities
4. 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. A)
Dermatillomania
B) Trichotillomania
C) Onychophagia
D) Kleptomania
E) Oniomania - ANS-Ans: A, B, C
Feedback:
Dermatillomania, or skin-picking, is a self-soothing behavior; that is, the behavior is an
attempt of people to soothe or comfort themselves, not that picking itself is necessarily a
positive sensation. Trichotillomania, or chronic, repetitive hair pulling, is a self-soothing
behavior that can cause distress and functional impairment. Onychophagia, or nail
biting, is a self-soothing behavior. Kleptomania, or compulsive stealing, and oniomania,
or compulsive buying, are reward-seeking behaviors.
5. The student nurse correctly identifies that which of the following are characteristics of
hoarding disorder? Select all that apply.
A) Excessive acquisition of animals or apparently useless things
B) Cluttered living spaces that become uninhabitable
C) Significant distress or impairment for the individual
D) Obsessive cleaning of environment
E) Disposing of articles that are of no value - ANS-Ans: A, B, C
Feedback:
Hoarding involves excessive acquisition of animals or apparently useless things;
1. The nursing student correctly identifies which of the following statements are true
of the etiology of OCD? Select all that apply.
A) The cognitive model for OCD etiology focuses on childhood and environmental
experiences of growing up.
B) The etiology of OCD is not definitively explained at this time.
C) OCD is caused by immune dysfunction.
D) The primary etiology of OCD is genetics.
E) Cognitive models may partially explain why people develop OCD. - ANS-Ans: A, B, E
Feedback:
Different studies of the etiology of OCD show promise, but have yet to definitively
explain how or why people develop OCD. Cognitive models of OCD have been long
accepted as a partial explanation for OCD. The cognitive model focuses on childhood
and environmental experiences of growing up. Heritable, genetic factors are a
significant influence on thinking, and environmental influences are not solely
responsible. Immune dysfunction may play a role in the etiology of OCD.
2. Which of the following are features of the thinking of a person who has OCD
according to the cognitive model? Select all that apply.
A) The person with OCD employs a minimalist approach to all aspects of his or her
life.
B) 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. C)
The person with OCD is always aware that his or her behavior is related to OCD. D)
The person with OCD is concerned with perfectionism and has an intolerance of
uncertainty.
E) The person with OCD has an inflated personal responsibility - ANS-Ans: B, D, E
Feedback:
The cognitive model describes the person's thinking as (1) believing one's thoughts are
overly important; that is, ìIf I think it, it will happen,î and therefore having a need to
control those thoughts; (2) perfectionism and the intolerance of uncertainty; and (3)
inflated personal responsibility (from a strict moral or religious upbringing) and
overestimation of the threat posed by one's thoughts. The person with OCD would not
employ a minimalist approach to all aspects of his or her lifeóhe or she is likely to
perform some tasks at extreme levels. The persons with OCD may not always be aware
that their behavior is related to OCD.
3. The nurse is caring for her first client with obsessiveñcompulsive 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?
A) The hand washing represents a way to exert independence from the staff.
B) The client is not aware of the excessive hand washing.
C) The client does not think anything is abnormal with washing his hands repeatedly.
D) The client feels terrible but cannot stop washing his hands to try to get rid of his
anxiety. - ANS-Ans: D
Feedback:
It may be difficult for nurses and others to understand why the person cannot simply
stop performing the bizarre behaviors interfering with his or her life. Nurses must
understand what anxiety behaviors are and how anxiety behaviors work, not just for
client care but to help understand the role anxiety plays in performing nursing
responsibilities
4. 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. A)
Dermatillomania
B) Trichotillomania
C) Onychophagia
D) Kleptomania
E) Oniomania - ANS-Ans: A, B, C
Feedback:
Dermatillomania, or skin-picking, is a self-soothing behavior; that is, the behavior is an
attempt of people to soothe or comfort themselves, not that picking itself is necessarily a
positive sensation. Trichotillomania, or chronic, repetitive hair pulling, is a self-soothing
behavior that can cause distress and functional impairment. Onychophagia, or nail
biting, is a self-soothing behavior. Kleptomania, or compulsive stealing, and oniomania,
or compulsive buying, are reward-seeking behaviors.
5. The student nurse correctly identifies that which of the following are characteristics of
hoarding disorder? Select all that apply.
A) Excessive acquisition of animals or apparently useless things
B) Cluttered living spaces that become uninhabitable
C) Significant distress or impairment for the individual
D) Obsessive cleaning of environment
E) Disposing of articles that are of no value - ANS-Ans: A, B, C
Feedback:
Hoarding involves excessive acquisition of animals or apparently useless things;
