OCD

Question 1

Most people who have OCD lose up to how much time a day due to these rituals?

Answer 1

Over an 1

Question 2

How is OCD described?

Answer 2

• Disabling disorder
• Obsessive thoughts
• Compulsive, repetitive behaviors
• Dominate one’s life

Question 3

What type of infection may cause OCD?

Answer 3

Streptococcal infection

Question 4

How many americans may have OCD?

Answer 4

2.2 million

Question 5

What are the risk factors of OCD?

Answer 5

• Family history

- Major life stressor during childhood

Question 6

What occurs in the brain when a patient has OCD?

Answer 6

Dysregulation of serotonin and abnormal imaging in basal ganglia and orbitofrontal cortex

Question 7

What type of linkage is strongly supported when a patient is diagnosed with OCD?

Answer 7

Genetic

Question 8

What are the clinical manifestations of OCD?

Answer 8

• Repeated thoughts about contamination, religious or sexual taboos
• Repeated doubts of fear (leaving door unlocked)
• Need to have things in certain order
• Awareness that obsessions are not irrational
• Ritualistic behavior
• Hoarding compulsions

Question 9

What are the most frequently reported compulsions associated with OCD?

Answer 9

• Hand washing
• Ordering, checking, locking
• Mental activity such as praying or counting
• Excessive praying
• Requesting or demanding assurances

Question 10

Why are patients with OCD driven to perform their compulsion?>

Answer 10

To reduce anxiety from obsession

Question 11

What type of patients with OCD typically like social isolation?

Answer 11

Hoarders

Question 12

What are the pharmacologic therapies used to treat OCD?

Answer 12

• SSRIs then TCAs
• Continue medication for 1-2 years
• Gradually taper while observing for worsening symptoms

Question 13

What types of nonpharmacologic therapies are used to treat OCD?

Answer 13

• Psychotherapy
• CBT effective
• Deep Brain stimulation

Question 14

What should the nurse focus on when treating an OCD patient?

Answer 14

• Promote new behavior patterns, coping mechanisms to make rituals unnecessary
• Maintain safety of patient
• Alleviate anxiety and distress

Question 15

What needs to be involved in the assessment interview of an OCD patient?

Answer 15

• What is the client thinking
• What is the behavior in response to thoughts
• How much time out of day involved
• Suicidal thoughts

Question 16

What nursing diagnoses are used for a patient with OCD?

Answer 16

• Anxiety
• Ineffective Coping
• Stress Overload
• Disturbed Sleep Pattern
• Fatigue
• Deficient Knowledge
• Risk for Caregiver Role strain

Question 17

What are the goals for a patient with OCD?

Answer 17

• Patient will identify triggers
• Patient will create a quiet, restful environment
• Patient will identify strengths that can be used to reorder thinking
• Client will recognize that continues obsessive-compulsive behaviors are not an indication of failure

Question 18

When treating a patient with OCD what should you make sure to do?

Answer 18

• Supportive, nonjudgemental demeanor
• Don’t interrupt client doing compulsive disorder
• Administer and evaluate medication therapy

Question 19

Upon evaluation of a patient with OCD what should you want the patient to have done?

Answer 19

• Patient reports reduction in performance of ritualistic compulsive behaviors
• Client demonstrates adequate coping skills to control anxiety.

Question 20

Which of the following medications would the nurse expect to administer to a client who is experiencing ritualistic behavior that interferes with job performance and activities of daily living?

1. Diltiazem
2. Fluoxetine
3. Lorazepam
4. Omeprazole

Answer 20

3. Lorazepam