When planning for a client with obsessive-compulsive disorder ...

[audie]

When planning for a client with obsessive-compulsive disorder (OCD)who has been admitted for severe exacerbation of symptoms, the nurse should set which of the following interventions as a priority?
 
  A) Giving medications in a timely fashion to maintain steady blood levels.
  B) Starting all group sessions on time and incorporating all group members into the discussion.
  C) Assessing the patient for suicide risk since they may also have a major depression.
  D) Discussing with the patient whether their obsessions involve self-mutilation acts like pulling their hair.

Question 2

When a client with extremely severe obsessive-compulsive disorder (OCD) is no longer responding to intensive drug therapy or behavioral therapy, what other treatment options should the nurse prepare to educate the client/family about? Select all that appl
 
  A) Stereotactic surgical procedures
  B) Deep-brain stimulation with electrical current
  C) Biofeedback techniques
  D) Service and companion dogs
  E) Hypnotherapy

[owenfalvey]

Answer to Question 1

Ans: C
Assessing for suicidal thoughts is always the priority. The client may feel a sense of hopelessness and helplessness and may contemplate suicide to end the suffering. An additional risk for suicide is created by the high probability of major depression, which often accompanies OCD. Clients may feel a need to punish themselves for their intrusive thoughts (e.g., religious coupled with sexual obsessions). Some persons have aggressive obsessions, so that external limits may have to be imposed for the protection of others. All clients should expect medications to be given on time and group sessions to start when the posted time arrives.

Answer to Question 2

Ans: A, B
Psychosurgery is sometimes used to treat extremely severe OCD that has not responded to prolonged and intensive drug treatment, behavioral therapy, or a combination of the two. Modern stereotactic surgical techniques that produce lesions of the cingulum bundle (a bundle of connective tissue) or anterior limb of the internal capsule (a region near the thalamus and part of the circuit connecting to the cortex) may bring about substantial clinical benefit in some individuals without causing significant morbidity). Other treatment options include radiotherapy and deep-brain stimulation, in which an electrical current is applied through an electrode inserted into the brain. Biofeedback is helpful when relaxation is needed. Service animals and hypnotherapy are useful treatments for patients with posttraumatic stress disorder.

[audie]

Excellent

[ricroger]

TYSM