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OCD Chapter 15
MedSurg Mental Health
| Question | Answer |
|---|---|
| What is Obsessions ? | Recurrent, Persistent, Intrusive and unwanted thoughts, images, or impulses |
| What is Compulsions? | Ritualistic or repetitive behaviors or mental acts that a person carries out continuously in an attempt to neutralize anxiety |
| Common compulsions include: | Checking, Counting, Washing/Scrubbing, Praying/Chanting Rituals -Touching/Rubbing/Tapping -Ordering -arranging and rearranging -Exhibiting rigid performance -Having aggressive urges |
| Obsessive Compulsive Disorder "OCD" is diagnosed by: | Thoughts or behaviors that consume a person to the point where the thoughts or actions interfere with personal, social, or occupational functioning |
| A person with OCD cannot control: | Their thoughts or behaviors although it may be unreasonable, they still can't stop/control them |
| OCD can start in early childhood examples include: | -Are more commonly in Women, begins in their 20s -Waxing and waning symptoms happen over lifetime |
| Differences in Early onset and Late onset in OCD: | -Early-onset OCD typically manifests in childhood or early adolescence, often between the ages of 7 and 12, -Late-onset OCD usually emerges in late adolescence or early adulthood, around age 20 |
| Self soothing behaviors in OCD include: | Excoriation- Skin Picking Trichotillomania- Hair pulling Onychophagia- Chronic Nail biting |
| What is Body Dysmorphic Disorder? | A mental health condition characterized by an excessive preoccupation with perceived flaws in one's physical appearance Note: Ex. A person who has lost a lot of weight but in their eyes, they still fill the weight is still there. |
| What is Hoarding Disorder? | Individuals struggle to discard possessions, regardless of their actual value, leading to excessive accumulation and clutter that can impair daily life and create significant distress |
| Reward seeking behaviors include: | Kleptomania- Compulsive stealing Oniomania- Compulsive buying |
| Body identity integrity disorder (BIID) is: | is the term given to people who feel “overcomplete,” or alienated from a part of their body and desire amputation Note: Compulsively wanting a limb cut off |
| Aaron Becks cognitive approach to emotional disorders focuses on: | Childhood and environmental experiences of growing up |
| Heredity? | Complex of network of several genes may contribute to the generic risk for OCD |
| Cultural considerations meaning when dealing with OCD: | Fairly similar or universal internationally; variation symptoms and expressions or beliefs about symptoms |
| Cultural Considerations in individuals that have OCD and what may be the cause include: | -Christian & Muslims, may have heightened sense of personal guilt. -Some patients with OCD believe in a supernatural cause Note: Pharmacologic treatment varies a great deal |
| True or False: OCD can be manifested through many behaviors, all of which are repetitive and meaningless? | True |
| What is the First line of medications that are used to treat OCD? | SSRIs, Fluvoxamine, Sertraline |
| What is the 2nd Line of medications that are used to treat OCD? | Serotonin-Norepinephrine reuptake inhibitor (SNRI) & Venlafaxine |
| What does the Treatment-resistant OCD include? | Second-generation antipsychotics -Risperidone -Aripiprazole |
| What is the meaning of Exposure when introducing a client to Behavioral Therapy? | Exposure involves assisting the client in deliberately confronting the situations and stimuli that they usually avoid |
| What is Response Prevention? | Focuses on delaying or avoiding performance of rituals. The person learns to tolerate the thoughts and the anxiety |
| When assessing a patient with OCD a nurse should gather information that includes: | -History -General appearance & Motor behavior (Tense, Anxious, Embarrassment) -Mood and Affect (Overwhelming Anxiety) -Thought process & Content (Obsessions as rising out of nowhere) |
| A Nurse should also gather the following information when assessing a patient with OCD including: | -Judgement and Insight (recognizes obsessions as irrational but unable to stop them) -Self-concept (Does the patient feel powerless or has low self-esteem?) -Roles & Relationships -Physiological and self-care considerations (Sleep & appetite changes) |
| Common problems that are associated with OCD are? | -Anxiety -Ineffective coping- (inability to manage stress and emotions) -Fatigue -Low Self-esteem -Skin breakdown (Minor abrasions or Deep Wounds) |
| What is Outcome Identification that occurs in the nursing process? | Setting measurable, achievable, and time-bound goals that reflect the expected positive changes in a patient's condition or behavior |
| What are some Nursing actions that can help with the process of ensuring the patient gets the proper help with their OCD symptoms? | -Therapeutic Communication -Relaxation Techniques -Behavorial Techniques -Daily Routine Completion -Client and Family education |
| When you evaluate a client with OCD, what outcome as a nurse do you want to achieve? | Treatment has been effective when OCD symptoms no longer interfere with the client’s ability to carry out responsibilities. |
| What are some things you can teach the client family about your Client dealing with OCD? | -Teach them about OCD -Review importance about talking openly -Emphasize about medication compliance -Behavorial Techniques -Tolerating Anxiety |
| What are some things as a nurse you should teach a client family to AVOID about the client illness with OCD? | - Avoid giving advice -Avoid trying to "fix" the problem |
| When teaching a client family about OCD you should emphasize that: | - Have patience -Monitor anxiety levels of the person -Take breaks |
| Which treatment option is appropriate for clients experiencing OCD? A. Avoidance Therapy B. Response- Reaction Therapy C. Memory Flooding D. Exposure Therapy | D. Exposure therapy This therapy is used in OCD when a client deliberately confronts the situation or stimuli that they usually try to avoid |
| Avoidance Therapy is "Aversion Therapy" it is used to treat what? | "FEAR", Not OCD |
| Memory Flooding is a technique that is used to treat what? | PTSD |
| True or False: The best way to help a client with OCD is to "avoid" talking to them about the OCD behaviors, as the client feels ashamed of the behaviors? | False. Although the client with OCD is typically ashamed or embarrassed by the behaviors, it is important to offer encouragement, support, and compassion, and to be clear that you believe they can change. |
| Which of the following characteristics describe the obsessional thoughts experienced by clients with OCD? a .Intrusive b. Realistic c. Recurrent d. Uncontrollable e. Unwanted f. Voluntary | A, C, D, E |
| Self Awareness Issues while dealing with a Client with OCD include: | -Need to understand the client cannot simply stop the behavior -OCD is a chronic condition -The client already know that their thoughts and rituals interfere with life |
Created by:
LorrenIsrael