Author Question: A patient diagnosed with obsessive-compulsive disorder has this nursing diagnosis: Anxiety related ... (Read 77 times)

clmills979 · **on:** Jul 19, 2018

A patient diagnosed with obsessive-compulsive disorder has this nursing diagnosis: Anxiety related to __________ as evidenced by inability to control compulsive cleaning. Which phrase correctly completes the etiological portion of the diagnosis?

a. feelings of responsibility for the health of family members
b. approval-seeking behavior from friends and family
c. persistent thoughts about bacteria, germs, and dirt
d. needs to avoid interactions with others

Question 2

The nurse assesses a patient who complains of loneliness and episodes of anxiety. Which statement by the patient is mostly likely if this patient also has agoraphobia?

a. I'm sure I will get over not wanting to leave home soon. It takes time.
b. Being afraid to go out seems ridiculous, but I can't go out the door.
c. My family says they like it now that I stay home most of the time.
d. When I have a good incentive to go out, I can do it.

tandmlomax84 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
Many compulsive rituals accompany obsessive thoughts. The patient uses these rituals for anxiety relief. Unfortunately, the anxiety relief is short lived, and the patient must frequently repeat the ritual. The other options are unrelated to the dynamics of compulsive behavior. See relationship to audience response question.

Answer to Question 2

ANS: B
Individuals who are agoraphobic generally acknowledge that the behavior is not constructive and that they do not really like it. The symptom is ego dystonic. However, patients will state they are unable to change the behavior. Agoraphobics are not optimistic about change. Most families are dissatisfied when family members refuse to leave the house.