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Thursday, September 25, 2008

Kaplan Question Of the Day: Nclex Review Course

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The nurse is interviewing a client who is being treated for obsessive-compulsive disorder. What is the MOST important question the nurse should ask this patient?

REWORDED QUESTION: What are the signs and symptoms of obsessive-compulsive disorder?

STRATEGY: "MOST important" indicates there may be more than one correct response.

NEEDED INFO: Obsessive-compulsive disorder is characterized by a history of obsessions and compulsions. Obsessions are recurrent and persistent thoughts, ideas, impulses or images that are experienced as intrusive and senseless. The patient knows that the thoughts are ridiculous or morbid, but cannot stop, forget, or control them. Compulsions are repetitive behaviors performed in a certain way to prevent discomfort and neutralize anxiety.

CATEGORY: Assessment/Psychosocial Integrity

(1) "Do you find yourself forgetting simple things?"
Should be used to assess patient with suspected cognitive disorder

(2) "Do you find it hard to stay on a task?"
Assesses for disorders that disrupt the ability to concentrate, such as depression

(3) "Do you have trouble controlling upsetting thoughts?"
CORRECT: one feature of obsessive compulsive disorder is the patient's inability to control intrusive thoughts that repeat over and over

(4) "Do you experience feelings of panic in a closed area?"
Appropriate for patient with suspected panic disorder related to closed spaces or claustrophobia

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