NURS 2547 Week 6 Questions With Complete Solutions
**1. A nurse is caring for a client with OCD who repeatedly
checks whether the stove is turned off. What is the most
appropriate response by the nurse?**
A) "You need to stop checking; it's already off."
B) "Tell me what you're feeling when you check the stove
multiple times."
C) "Let's distract you with a different task whenever you feel the
urge to check."
D) "This behavior is normal; many people double-check things."
**Rationale:** Encouraging the client to explore the feelings
behind the compulsion supports cognitive-behavioral therapy
techniques. Correct Answer
**1. Which of the following best describes obsessions in
Obsessive-Compulsive Disorder (OCD)?**
A) Repetitive behaviors performed to reduce anxiety
B) Intrusive, unwanted thoughts that cause distress
C) Actions that bring long-lasting relief
D) Hallucinations that interfere with functioning Correct
Answer **B) Intrusive, unwanted thoughts that cause
distress**
*Obsessions are persistent, intrusive thoughts not under the
patient's control and cause significant anxiety.*
**10. A nurse working with a client with OCD notices they
spend several hours a day organizing objects at home. What
term best describes this behavior?**
,A) Obsession
B) Flashback
C) Compulsion
D) Delirium Correct Answer **C) Compulsion**
*Organizing objects repeatedly is a compulsion aimed at
reducing internal anxiety.*
**2. Which of the following is an example of a checking
compulsion in a client with OCD?**
A) Organizing books in color-coded order
B) Repeatedly washing hands for 30 minutes
C) Locking and unlocking the front door five times before
leaving
D) Collecting old magazines and never throwing them away
Correct Answer C) Locking and unlocking the front door five
times before leaving
**2. Which of the following is an example of a compulsion in a
person with OCD?**
A) Thinking repeatedly about germs
B) Feeling anxious when seeing a dirty surface
C) Repeatedly washing hands to reduce anxiety
D) Avoiding public places Correct Answer **C) Repeatedly
washing hands to reduce anxiety**
*Compulsions are repetitive behaviors or rituals performed to
neutralize the anxiety caused by obsessions.*
**3. What statement is true regarding the onset and course of
OCD?**
A) OCD is most common in early childhood
,B) Symptoms typically begin in late adulthood
C) OCD commonly begins in late adolescence or early
adulthood
D) OCD is a temporary condition that resolves on its own
Correct Answer **C) OCD commonly begins in late
adolescence or early adulthood**
*OCD usually presents during late adolescence or early
adulthood and often becomes chronic if untreated.*
**4. A nurse is assessing a client who states they feel the need to
check the lock on their door 30 times before leaving the house.
What is this behavior an example of?**
A) Obsession
B) Delusion
C) Compulsion
D) Phobia Correct Answer **C) Compulsion**
*Checking behaviors are compulsions—repetitive actions done
to reduce anxiety caused by obsessions.*
**4. The nurse observes a client with OCD repeating a specific
phrase multiple times. What should the nurse do first?**
A) Ask the client to stop immediately
B) Redirect the client to a group activity
C) Document the behavior and continue observation
D) Encourage the client to explain the meaning of the phrase
Correct Answer C) Document the behavior and continue
observation
**Rationale:** Nonjudgmental observation allows for data
collection before intervention.
, **5. Which of the following would the nurse expect to be
prescribed for a client newly diagnosed with OCD?**
A) Benzodiazepines and beta-blockers
B) Antipsychotics and stimulants
C) Antidepressants and clomipramine
D) Lithium and anticonvulsants Correct Answer **C)
Antidepressants and clomipramine**
*First-line treatment includes SSRIs and clomipramine (a
tricyclic antidepressant specifically helpful in OCD).*
**6. A client with OCD is undergoing treatment involving
exposure to feared objects and prevention of rituals. What type
of therapy is this?**
A) Psychoanalysis
B) Dialectical behavior therapy (DBT)
C) Exposure and response prevention (ERP)
D) Interpersonal therapy Correct Answer **C) Exposure and
response prevention (ERP)**
*ERP is a form of cognitive-behavioral therapy (CBT) that
involves gradual exposure to fears and prevention of
compulsions.*
**6. Which behavior best illustrates "slowness" as a compulsion
in OCD?**
A) Repeating a prayer silently before meals
B) Taking three hours to organize items on a desk in a perfect
pattern
C) Asking repeated questions during a conversation
**1. A nurse is caring for a client with OCD who repeatedly
checks whether the stove is turned off. What is the most
appropriate response by the nurse?**
A) "You need to stop checking; it's already off."
B) "Tell me what you're feeling when you check the stove
multiple times."
C) "Let's distract you with a different task whenever you feel the
urge to check."
D) "This behavior is normal; many people double-check things."
**Rationale:** Encouraging the client to explore the feelings
behind the compulsion supports cognitive-behavioral therapy
techniques. Correct Answer
**1. Which of the following best describes obsessions in
Obsessive-Compulsive Disorder (OCD)?**
A) Repetitive behaviors performed to reduce anxiety
B) Intrusive, unwanted thoughts that cause distress
C) Actions that bring long-lasting relief
D) Hallucinations that interfere with functioning Correct
Answer **B) Intrusive, unwanted thoughts that cause
distress**
*Obsessions are persistent, intrusive thoughts not under the
patient's control and cause significant anxiety.*
**10. A nurse working with a client with OCD notices they
spend several hours a day organizing objects at home. What
term best describes this behavior?**
,A) Obsession
B) Flashback
C) Compulsion
D) Delirium Correct Answer **C) Compulsion**
*Organizing objects repeatedly is a compulsion aimed at
reducing internal anxiety.*
**2. Which of the following is an example of a checking
compulsion in a client with OCD?**
A) Organizing books in color-coded order
B) Repeatedly washing hands for 30 minutes
C) Locking and unlocking the front door five times before
leaving
D) Collecting old magazines and never throwing them away
Correct Answer C) Locking and unlocking the front door five
times before leaving
**2. Which of the following is an example of a compulsion in a
person with OCD?**
A) Thinking repeatedly about germs
B) Feeling anxious when seeing a dirty surface
C) Repeatedly washing hands to reduce anxiety
D) Avoiding public places Correct Answer **C) Repeatedly
washing hands to reduce anxiety**
*Compulsions are repetitive behaviors or rituals performed to
neutralize the anxiety caused by obsessions.*
**3. What statement is true regarding the onset and course of
OCD?**
A) OCD is most common in early childhood
,B) Symptoms typically begin in late adulthood
C) OCD commonly begins in late adolescence or early
adulthood
D) OCD is a temporary condition that resolves on its own
Correct Answer **C) OCD commonly begins in late
adolescence or early adulthood**
*OCD usually presents during late adolescence or early
adulthood and often becomes chronic if untreated.*
**4. A nurse is assessing a client who states they feel the need to
check the lock on their door 30 times before leaving the house.
What is this behavior an example of?**
A) Obsession
B) Delusion
C) Compulsion
D) Phobia Correct Answer **C) Compulsion**
*Checking behaviors are compulsions—repetitive actions done
to reduce anxiety caused by obsessions.*
**4. The nurse observes a client with OCD repeating a specific
phrase multiple times. What should the nurse do first?**
A) Ask the client to stop immediately
B) Redirect the client to a group activity
C) Document the behavior and continue observation
D) Encourage the client to explain the meaning of the phrase
Correct Answer C) Document the behavior and continue
observation
**Rationale:** Nonjudgmental observation allows for data
collection before intervention.
, **5. Which of the following would the nurse expect to be
prescribed for a client newly diagnosed with OCD?**
A) Benzodiazepines and beta-blockers
B) Antipsychotics and stimulants
C) Antidepressants and clomipramine
D) Lithium and anticonvulsants Correct Answer **C)
Antidepressants and clomipramine**
*First-line treatment includes SSRIs and clomipramine (a
tricyclic antidepressant specifically helpful in OCD).*
**6. A client with OCD is undergoing treatment involving
exposure to feared objects and prevention of rituals. What type
of therapy is this?**
A) Psychoanalysis
B) Dialectical behavior therapy (DBT)
C) Exposure and response prevention (ERP)
D) Interpersonal therapy Correct Answer **C) Exposure and
response prevention (ERP)**
*ERP is a form of cognitive-behavioral therapy (CBT) that
involves gradual exposure to fears and prevention of
compulsions.*
**6. Which behavior best illustrates "slowness" as a compulsion
in OCD?**
A) Repeating a prayer silently before meals
B) Taking three hours to organize items on a desk in a perfect
pattern
C) Asking repeated questions during a conversation
