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Anxiety d/o ATI (mainly OCD) with questions
Terms in this set (15)
A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons?
attempt to reduce anxiety
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?
Stay with the client and remain quiet
A nurse is assessing a client who has generalized anxiety d/o. Which of the following findings should the nurse expect? Select all that apply.
A. Excessive worry for 6 months.
B. Impulsive decision making
C. Delayed reflexes
D. Restlessness (correct)
E. Need for reassurance (correct)
A nurse is planning care for a client who has body dysmorphic disorder. Which of the following actions should the nurse plan to take first?
Assessing the client's risk for self-harm
A nurse is caring for a client who has acute stress d/o and is experiencing severe anxiety. Which of the following statements actions should the nurse make?
"Tell me about how you're feeling right now."
client has intrusive thoughts of unrealistic obsessions and tries to control these thoughts with compulsive behaviors
standardized screening tool for OCD
Yale-Brown Obsessive Compulsive Scale
treatment for OCD
meds-- Luvox, Zoloft, Effexor, Risperdal, Seroquel, Zyprexa
therapy--CBT, exposure therapy, response prevention
dermatillomania (skin picking)
onychophagia (nail biting)
trichotillomania (hair pulling)
reward seeking behaviors
kleptomania (compulsive stealing)
oniomania (compulsive buying)
hoarding (excessive acquisition)
pyromania (fire setting)
body dysmorphic d/o
client attempts to conceal a perceived physical flaw and practices repetitive behaviors, such as mirror checking or comparison to others, in response to the anxiety experienced over the perception
common obsessive thoughts
contamination (germs), religious preoccupation or blasphemy, aggressive urges, doubting, accidental harm to others, sexual
checking rituals, counting rituals, washing/scrubbing, praying/chanting, touching/rubbing/tapping, ordering (arranging and rearranging), exhibiting rigid performance
family teaching with OCD
avoid giving advice, avoid trying to "fix the problem", be patient with their own discomfort, monitor own anxiety level, "take a break" from the situation as needed
pt teaching with OCD
define OCD and assist in recognizing symptoms, review importance of openly discussing obsessions, compulsions, and anxiety, emphasize importance of med compliance, discuss behavioral techniques for managing anxiety and decreasing OCD symptoms
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Unit 1 Videbeck Chapter 2
Psychiatric Mental Health Nursing New Assessment
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