The nurse has identified a nursing diagnosis of disturbed thought ...

[Sufayan.ah]

The nurse has identified a nursing diagnosis of disturbed thought processes for a patient with obsessive-compulsive disorder. What abilities displayed by the patient would be re-lated to an appropriate outcome for this problem? Select all that apply.
 
  a. Can identify when obsessions are worsening
  b. Speaks of obsessions as being embarrassing behaviors
  c. Describes lessening anxiety when compulsive rituals are interrupted
  d. Plans to ignore obsessive thoughts and so minimizes resulting stress
  e. Limits time focusing on obsessive thoughts to 15 minutes, 4 times a day

Question 2

A college student diagnosed with high levels of anxiety is being prepared for discharge. Which discharge criteria is appropriate for this patient?
 
  a. The patient will avoid situations that cause anxiety.
  b. The patient will use learned anxiety-reducing strategies.
  c. The patient will return to living at home with supportive parents.
  d. The patient will state, I know medication is what I need to control my anxiety.

[itsakadoozi]

Answer to Question 1

ANS: A, C, E
It is desirable for the patient to experience a sense of being able to identify and control the obsessive thinking and the resulting anxiety. Identifying the behaviors as embarrassing is not showing control nor is ignoring the behaviors.

Answer to Question 2

ANS: B
Using anxiety-reduction strategies will promote maximal functioning. Trying to avoid stress-ful situations is impractical and encourages avoidance, therefore limiting activities and not supporting the development of coping mechanisms. Moving back into the parent's home promotes dependency, and medication therapy is not necessarily the only treatment for anxi-ety.