OBSESSIVE COMPULSIVE DISORDERS

Question 1

Intrusive or persistent thoughts that cause anxiety

Answer 1

OBSESSIONS

Question 2

Repetitive behaviors or ritualistic actions that you do to decrease anxiety

Answer 2

Compulsions

Question 3

TRUE OR FALSE

Obsessions and Compulsions are uncontrollable.

Answer 3

True. Especially if it already affects ADL

Question 4

NURSING DIAGNOSIS for OCD

Answer 4

powerlessness.

Question 5

Defense mechanisms used by the patient

Answer 5

Undoing and Displacement

Question 6

a person tries to cancel out or remove an unhealthy, destructive or otherwise threatening thought or action by engaging in contrary behavior

Answer 6

UNDOING

Question 7

when a person has unexpressed emotions, he/she will direct it to other things. Ex. Handwashing`

Answer 7

DISPLACEMENT

Question 8

TREATMENT FOR OCD

Answer 8

ORAL MEDICATIONS AND COGNITIVE BEHAVIORAL THERAPY (CBT)

Question 9

TREATMENT: OCD
ORAL MEDICATIONS

Answer 9

Antianxiety and antidepressants - ( S S R I for OCD is
Clomipramine and Fluoxamine.)

Question 10

pertains to our cognition or thoughts.
Problematic thoughts of patient with OCD are
Obsession. Hence, the target of the therapy.

Answer 10

Cognitive

Question 11

is targeting the patients actions or behavior
that is related to their cognition and thoughts.

Answer 11

Behavioral

Question 12

2 PARTS OF TREATMENT

Answer 12

EXPOSURE AND RESPONSE PREVENTION

Question 13

Cognitive part that targets obsession
- Expose the patient what is causing the obsession.
- After exposure, teach patient to perform relaxation techniques

Answer 13

EXPOSURE

Question 14

Targets compulsion
- The obsession is triggered but we delay or does not allow the patient to perform rituals
- Performs deep breathing exercises and guided imagery.

Answer 14

RESPONSE PREVENTION

Question 15

If the patient is not undergoing cognitive behavioral therapy

Answer 15

DO NOT INTERRUPT THE RITUALS

Question 16

The patient uses the ritual to decrease the anxiety If the ritual is affecting ADL, the nurse can:

Answer 16

• Adjust the schedule of the patient
• Minimize the time for ritual performance

Question 17

NURSING DIAGNOSIS

Answer 17

ANXIETY

Question 18

anxiety for 6 months

Answer 18

GENERALIZED ANXIETY DISORDER (GAD)

Question 19

persistent panic attacks followed by 1 month of excessive worry

Answer 19

PANIC DISORDER:

Question 20

• Anxiety
• neffective Coping
• Ineffective Role performance o Social isolation
• Powerlessness Fear

Answer 20

OCD

Question 21

NURSING INTERVENTIONS FOR GAD

Answer 21

CALMER Approach Calm Manner - Use low pitched, calm and soothing voice

Question 22

Give the specific medications for GAD
- Antianxiety
- Antidepressants
- Antihypertensive medications

Answer 22

• Antianxiety (clonazepam, diazepam)
• Antidepressants - Selective serotonin reuptake inhibitors and Tricyclic antidepressants (SSRI, TCA)
• Antihypertensive medications (clonidine)

Question 23

Best way to alleviate the patient’s anxiety: GAD

Answer 23

verbalization of feelings

Question 24

How would you minimize environmental stimuli?

Answer 24

Quiet environment
- Far from the nurses’ station because it is a busy are
of the ward

Question 25

Ensure safety - if a patient is in a severe or panic attack of anxiety

Answer 25

do not leave the patient.

Question 26

If these are all ineffective for calming the patient and can be seen as danger to others or self, the last resort then will be

Answer 26

RESTRAIN

Question 27

Persistent acquisition of stuff - Can be a collector but it becomes abnormal when you got indebted because of this, no space at home. Picking up stray cats or birds to the point that it affects home sanitation.

Answer 27

HOARDING DISORDER

Question 28

CHEMICAL RESTRAINTS Tranquilizer - fast acting within 30 mins but short acting

Answer 28

lorazepam

Question 29

CHEMICAL RESTRAINTS Tranquilizer - prolong 4-6 hours

Answer 29

haloperidol

Question 30

in between of exposure therapy and response prevention, what should the nurse do?

Answer 30

deep breathing/relaxation techniques and guided imagery