Obsessive Compulsive Disorder and Related Disorders

ObsessiveCompulsive Disorder and Related Disorders
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ObsessiveCompulsive Disorder and Related Disorders
1. A nurse is planning to teach a client diagnosed with
agoraphobia about this disorder. Which fact should
the nurse include in the teaching plan?
1. The origin of agoraphobia is the lack of control
over life situations.
2. The origin of agoraphobia is a change in body
functioning resulting from inner conflict.
3. The origin of agoraphobia is the true fear of being
separated from a source of security.
4. The origin of agoraphobia is the direct physiological effect of a substance.
19. A psychiatrist ordered habit reversal therapy (HRT)
for a client diagnosed with hair-pulling behavior.
After several weeks of treatment, which of the following client behaviors would the nurse expect?
Select all that apply.
1. The client is attempting to extinguish unwanted
behavior.
2. The client is becoming less aware of the behavior.
3. The client can identify times of hair-pulling
occurrence.
4. The client has substituted a more adaptive coping
strategy.
5. The client understands that hair-pulling behaviors
are genetic in nature.
20. A client refuses to accept a promotion because his
job would require crossing a high bridge daily. How
should a nurse explain to the client’s wife the root of
this fear from a learning theory perspective?
1. Unresolved intrapsychic conflicts resulted in
projected anxiety.
2. A distorted and unrealistic appraisal of the
situation resulted in the avoidance.
3. His mother’s extreme fear of heights contributed
to his current fear.
4. The client’s high norepinephrine levels resulted in
distorted thinking.
21. An instructor is teaching about phobias and the
different treatments used to decrease fear driven
anxiety. Which of the following student statements
about implosion therapy (flooding) indicates that
learning has occurred? Select all that apply.
1. “A client must imagine or participate in extremely
frightening situations for a prolonged period of
time.”
ObsessiveCompulsive Disorder and Related Disorders
2. “A client must participate in relaxation training to
decrease the onset of a panic attack.”
3. “A client is flooded with soothing music and images of cloud formations when triggers to anxiety
are presented.”
4. “The client continues implosion therapy (flooding)
until the stimulus no longer elicits anxiety.”
5. “The client learns to be anxious and relaxed at the
same time while being exposed to the anxiety
provoking triggers.”
22. A client diagnosed with obsessive-compulsive disorder (OCD) has an obsession with dirt and germs and
has a continual compulsion to spray all surfaces with
a disinfectant. How would the nurse explain this
client’s action?
1. The compulsion to spray disinfectant reduces
bacterial growth.
2. The compulsion to spray disinfectant relieves the
client’s anxiety.
3. The compulsion to spray disinfectant encourages
ego integrity.
4. The compulsion to spray disinfectant increases
the client’s self-esteem.
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