which of the following interventions is most effective in managing a patient with obsessive compulsive disorder ocd
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ATI Mental Health Proctored Exam 2023 Quizlet

1. Which of the following interventions is most effective in managing a patient with obsessive-compulsive disorder (OCD)?

Correct answer: B

Rationale: The most effective intervention in managing a patient with obsessive-compulsive disorder (OCD) is helping the patient to understand that their thoughts are irrational. This cognitive-behavioral approach can assist in reducing the frequency and intensity of obsessive thoughts and compulsive behaviors by challenging and reframing maladaptive beliefs and thought patterns associated with OCD. Encouraging the patient to engage in repetitive behaviors (choice A) reinforces the compulsive behavior rather than addressing the underlying issue. Providing a structured daily routine (choice C) may help in some cases but does not directly target the irrational thoughts and beliefs. Allowing the patient to avoid trigger situations (choice D) can provide temporary relief but does not address the core problem of irrational thoughts and behaviors.

2. What principle should guide a nurse's fear about 'saying the wrong thing' to a patient in nurse-patient communication?

Correct answer: A

Rationale: Effective nurse-patient communication is guided by the principle that patients value sincere and respectful interactions. A nurse's well-meaning approach that conveys acceptance, respect, and concern helps establish trust and rapport with patients, even if the nurse is apprehensive about making mistakes. It is essential for the nurse to focus on genuine intent and respect for the patient's situation rather than being consumed by the fear of saying something wrong.

3. Which intervention is most appropriate to promote the self-esteem of a patient with severe depression?

Correct answer: B

Rationale: Involving the patient in simple, achievable activities is a constructive approach to promote self-esteem by fostering a sense of accomplishment and success. This method encourages positive reinforcement and helps the patient regain confidence and self-worth, which are essential in managing depression. Choice A could potentially lead to rumination and worsen depressive symptoms. Choice C might reinforce avoidance behaviors and hinder progress. Choice D, while supportive, may not address the core need for building self-esteem through personal achievements.

4. A healthcare professional is caring for a group of clients. Which of the following clients should the healthcare professional consider for referral to an assertive community treatment (ACT) group?

Correct answer: B

Rationale: The client who lives at home and repeatedly forgets to come in for a scheduled monthly antipsychotic injection for schizophrenia should be considered for referral to an assertive community treatment (ACT) group. ACT teams provide intensive community-based treatment and support for individuals with severe mental illness who may have difficulty adhering to treatment on their own. Choices A, C, and D do not describe individuals with severe mental illness who have difficulty adhering to treatment or need intensive community-based support, which are the typical candidates for referral to an ACT group.

5. What is the primary benefit of using cognitive-behavioral therapy (CBT) for treating anxiety disorders?

Correct answer: B

Rationale: The primary benefit of using cognitive-behavioral therapy (CBT) for treating anxiety disorders is that it helps patients understand and change their thought patterns. By addressing maladaptive thought processes and behaviors, CBT can effectively reduce anxiety symptoms and improve coping mechanisms. This approach empowers individuals to develop healthier responses to anxiety triggers, leading to long-lasting benefits beyond solely relying on medications or avoiding anxiety-provoking situations. Choices A, C, and D are incorrect because CBT does not primarily focus on long-term use of medications, addressing childhood traumas, or encouraging avoidance of anxiety-provoking situations. While medications may be used in conjunction with CBT, the main focus of CBT is on cognitive restructuring and behavioral interventions to alleviate anxiety symptoms.

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