A client with obsessive-compulsive disorder (OCD) is using cue ...

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A client with obsessive-compulsive disorder (OCD) is using cue cards to help restructure thought patterns. Which statements would be appropriate to include on a cue card? Select all that apply.
 
  A) These are the OCD thoughts.
  B) Trust myself.
  C) Keep on checking.
  D) Safety is the key.
  E) I did it right the first time.

Question 2

A client with obsessive-compulsive disorder has been taking fluoxetine for 1 month. The client tells the nurse, These pills are making me sick. I think I'm getting a brain tumor because of the headaches. Which response by the nurse would be mo
 
  A) Let's talk about how often you have been performing the rituals lately.
  B) Tell me how many times you have washed your hands today.
  C) Have you been practicing your deep breathing and relaxation exercises?
  D) These medications have side effects that can cause increased headaches.

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Answer to Question 1

Ans: A, B, E
Cue cards are used to help the client restructure thought patterns. They contain statements that are positively oriented and pertain to the client's specific obsessions and compulsions, such as identifying the thoughts as OCD rather than the person, trusting one's self, and doing it right the first time. The statements Keep on checking and Safety is the key would reinforce the client's anxiety.

Answer to Question 2

Ans: D
Individuals with obsessive-compulsive disorder need frequent reassurance that the side effects are a common response to the medication and that they are not becoming ill. Ignoring the client's concerns will only increase the client's anxiety.

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