30 Questions
What is a key nursing intervention for OCD?
Encouraging the client to talk about feelings, obsessions, and rituals in detail
What is emphasized as an important part of treatment for OCD?
Medication compliance
What is a key component of client and family education for OCD?
Talking openly about obsessions, compulsions, and anxiety
What is a characteristic of OCD?
Involves recurrent, persistent, intrusive, and unwanted thoughts
What is a part of the treatment for OCD?
Behavioral therapy, specifically exposure and response prevention
What is a key factor for positive long-term outcomes in OCD management?
Practicing anxiety management and behavioral techniques daily
What is one of the expected immediate outcomes for the client?
Establish adequate nutrition, hydration, and elimination within 4 to 5 days.
What is a symptom of the nursing diagnosis Ineffective Coping mentioned in the text?
Ambivalence regarding decisions or choices
What is a disturbance in normal functioning mentioned in the text?
Loss of job
What is an expected stabilization outcome for the client?
Identify alternative methods of dealing with stress and anxiety
What is an example of an immediate expected outcome for the client?
Verbalize realistic self-evaluation; for example, make a list of strengths and abilities and review list with staff within 3 to 4 days
What is a sign of Ineffective Coping mentioned in the text?
Difficulty or slowness completing daily living activities because of ritualistic behavior
What does the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) assess?
Resistance against obsessions and compulsions
What does the Y-BOCS evaluate in relation to compulsive behaviors?
Time spent and interference in daily life
When do clients seek treatment for OCD?
When obsessions or compulsions become overwhelming and interfere with daily life
What is the most common approach for OCD treatment?
Outpatient treatment
When do rituals typically begin for clients with OCD?
Many years before seeking treatment, and some start in childhood
How are obsessions described in relation to normal activities?
Arising from nowhere during normal activities, becoming more intense when resisted
What is the goal of community nursing interventions for Obsessive-Compulsive Disorder (OCD)?
To decrease obsessive thoughts and ritualistic behaviors to enable independent functioning
What should the client learn in terms of managing stress and anxiety?
Alternative ways to manage stress and anxiety
What should be maintained in terms of physiological functioning for a client with OCD?
Adequate physiological functioning, including sleep and rest
What should be done if continued therapy is needed for a client with OCD?
Follow through with continued therapy, including identifying a therapist before discharge
What is one of the nursing interventions for a client with OCD?
Observing eating, drinking, and elimination patterns and providing assistance as necessary
How can anxiety management be encouraged for a client with OCD?
The client should be encouraged to manage anxiety directly and learn alternative methods for dealing with it
What is a common nursing diagnosis for OCD?
Anxiety
How does OCD affect the client's self-esteem?
It contributes to low self-esteem
What is a key aspect of therapeutic communication for clients with OCD?
Validating client's overwhelming feelings
What techniques are important to teach clients with OCD?
Relaxation techniques such as deep breathing and guided imagery
What is a common outcome for clients with OCD?
Completing daily activities within a realistic time frame
What technique is used to manage anxiety and ritualistic behaviors in clients with OCD?
Exposure and response prevention techniques
Study Notes
Understanding and Managing Obsessive-Compulsive Disorder (OCD)
- OCD does not impair memory or sensory functioning
- Clients recognize obsessions as irrational but struggle to stop them
- Ritualistic behavior continues during overwhelming anxiety
- OCD contributes to low self-esteem and feelings of powerlessness
- Time spent on rituals affects the client's ability to fulfill roles and relationships
- OCD may lead to sleep troubles, loss of appetite, and hygiene issues
- Nursing diagnoses for OCD include anxiety, ineffective coping, fatigue, and low self-esteem
- Outcomes for clients with OCD include completing daily activities within a realistic time frame and demonstrating effective use of relaxation techniques
- Therapeutic communication involves validating client's overwhelming feelings and encouraging discussion of thoughts and behaviors
- Teaching relaxation techniques such as deep breathing and guided imagery is important
- Exposure and response prevention techniques are used to manage anxiety and ritualistic behaviors
- Clients should gradually limit the time spent on rituals and engage in expected activities, using relaxation and stress reduction techniques when necessary
Test your knowledge on understanding and managing Obsessive-Compulsive Disorder (OCD) with this quiz. Explore nursing diagnoses, therapeutic communication, relaxation techniques, and exposure and response prevention methods for clients with OCD.
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