Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psych > 26. OCD > Flashcards

26. OCD Flashcards

You may prefer our related Brainscape-certified flashcards:
Psychology 101 flashcards GRE® Psychology flashcards
1
Q

excessive unwanted intrusive and persistent thoughts impulses or images causing anxiety and distress; not under pt’s control; incongruent w/ pt’s usual thought patterns

A

obsessions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

repeatedly performed behaviors in a ritualistic fashion; w/ goal of preventing or relieving anxiety and distress caused by obsessions

A

compulsions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

common obsessions

A
  • fear of contamination

- need for symmetry and completion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

common compulsions

A
  • washing hands
  • checking rituals
  • counting rituals
  • excessive cleaning or arranging of objects
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what should you worry about in a pt w/ compulsive hand washing

A

skin integrity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

diagnostic criteria for OCD

A
  • presence of obsessions or compulsions
  • pt recognizes thoughts and actions are unreasonable or excessive
  • thoughts/rituals cause severe disturbances in daily routines, relationships, or occupational functioning; take longer than 1 hour/day to complete
  • not result of another disorder, substance use, or medical condition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

describe insight for OCD

A
  • good or fair insight: recognizes beliefs are definitely or most likely not true
  • with poor insight: things are probably true
  • with absent insight: completely convinced OCD beliefs are true
  • tic-related
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

clinical course of OCD

A

onset in early 20s to mid 30s w/ sxs often beginning in childhood; gradual onset

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

epidemiology of OCD

A
  • female slightly more than males
  • lifetime prevalence of 1.2%
  • all ages affected; lifelong illness
  • 1-3% of children and adolescents
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

biological theories of OCD

A
  • genetic
  • neuropathology (hyperactivity in frontal cortex)
  • biochemical (low levels of serotonin)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

psychological theories of OCD

A
  • defense mechanisms (isolation, undoing, and reaction formation)
  • may come from unconsciousness)
  • learning theory (conditioned stimuli)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

nursing assessment for OCD

A
  • dermatologic lesions (cleaning rituals)
  • osteoarthritis (cleaning rituals)
  • type and severity of obsessions and compulsions
  • distraction by obsessional thoughts
  • dressing and grooming
  • speech (circumferential speech - excessive details in conversation)
  • degree to which sxs interfere w/ functioning
  • Yale-Brown Obsessive Compulsive Scale
  • Maudsley Obsessive Compulsive Inventory
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

care priorities for OCD

A
  • anxiety

- impaired skin integrity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

interventions for OCD

A
  • skin integrity maintenance
  • medications
  • ECT (helps w/ depression due to obsessions)
  • response prevention
  • thought stopping
  • relaxation techniques
  • cognitive restructuring
  • cue cards
  • psychoeducation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

medications used for OCD

A
  • clomipramine (Anafranil)
  • sertraline (Zoloft)
  • fluvoxamine (Luvox)
  • venlafaxine (Effexor)
  • mirtaxapine (Remeron)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

goal for pts w/ OCD

A
  • learn new and more adaptive strategies without resorting to obsessive compulsive behavior
  • gain independence and greater control over life situations
17
Q

T/F: you should not interfere w/ a person’s ritual

A

True (increases anxiety)

18
Q

pt exposed to object of anxiety and asked to refrain from performing ritual

A

response prevention

19
Q

interrupt obsessive thoughts by saying stop

A

thought stopping

20
Q

chronic self-destructive hair pulling that results in noticeable hair loss

A

trichotillomania

21
Q

epidemiology of trichotillomania

A
  • onset occurs among children before age of 5 and in adolescents
  • 1-2% of population
  • anxiety, loneliness, anger, fatigue, guilt, frustration, and boredom can trigger hair pulling
22
Q

goal of trichotillomania

A

substation of positive behaviors to deal w/ emotions

23
Q

skin picking disorder; risk for infection; behavior and pharmacology interventions

A

excoriation disorder

24
Q

focus on real but slight or imagined defects in appearance; over half also have anxiety; CBT is primary intervention

A

body dysmorphic disorder

25
Q

difficulty parting w/ or discarding possessions; may start in childhood; CBT and medication

A

hoarding disorder

Psych (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions