Outcome evaluation, interventions

People with OCD often engage in repetitive behaviors to alleviate the anxiety caused by their obsessive thoughts, such as excessive cleaning or checking.

What are compulsions?


A form of psychotherapy involving gradual exposure to feared objects or situation without engaging in compulsive rituals. Considered the gold-standard treatment for OCD. 

What is Exposure with Response Prevention (ERP) therapy?


Pt identifies that transitioning to college has been hard and that he feels different from his classmates. He gets distracted in class and misses what is being said due to overthinking.

What is this client experiencing?

What is anxiety?


Give ________ reinforcement for non-ritualistic behaviors in OCD patients during therapy. This enhances self-esteem and encourages repetition of desired behaviors.

What is Positive?


What proportion of men to women experience OCD

What is 1:1 (equally distributed)?


Fear of contamination, fear of harming others, and a need for symmetry or order.

What are some common obsessions in OCD?


This class of medications includes fluoxetine and sertraline. Commonly prescribed to help manage OCD symptoms. 

What are SSRI's?


Pt states that sometimes it only takes him about an hour to organize and reorganize, but lately he has had to spend 2 to 3 hours getting things the way they need to be, or he had to count.

Nursing diagnosis?

Ineffective coping


In the beginning of treatment for OCD patients, allow plenty of time for these behaviors. To deny this activity will precipitate panic for the patient.

What are Rituals?


One of the most common compulsions of OCD clients

What is hand-washing?


This term describes the distressing feeling that something must be done in a specific way or something bad will happen.

What is an obsession?


A brain stimulation technique that involves placing electrodes in specific areas of the brain. Has shown promise in treating severe cases of OCD. 

What is Deep Brain Stimulation (DBS)?


Pt’s hands are red and chapped, with several open areas.

Patient is at risk for __________ (nursing diagnosis)

What is Impaired skin integrity?

Providing _______ in a schedule for OCD patients - including their rituals - provides a feeling of security for them in their therapy.

What is Structure?


1997 movie that portrays an OCD case

What is As Good As It Gets?


Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the person feels driven to perform in response to an obsession or according to rules that must be applied rigidly.

What are common compulsions?


A therapeutic approach that emphasizes self-awareness to help individuals with OCD recognize and resist compulsive urges. 

What is Mindfulness?


Pt states that she avoids eye contact and social events since she doesn’t feel like she’s like the others. She reports feeling unstable in public but is also lonely at home.

Nursing diagnosis for this patient?

What is Social Isolation?


Within 1 week, OCD patients will decrease participation in ritualistic behavior by this much (short-term goal).

What is One-half?


Percentage of individuals with OCD that attempt suicide

What is 10 percent?


These are recurrent and persistent thoughts, urges, or images that are intrusive and unwanted, causing marked anxiety or distress.

What are obsessions in OCD?


Therapy developed by Albert Ellis that focuses on identifying and challenging irrational beliefs that contribute to OCD symptoms. 

What is Rational Emotive Behavior Therapy (REBT)?


Patient expresses recurrent thoughts of cutting themselves in order to relieve emotional distress but has not thoughts of committing suicide.

Priority nursing diagnosis?

What is Risk for injury?


OCD patients should demonstrate the ability to interrupt thoughts of this nature and refrain from ritualistic behaviors in response to stress (long-term goal).

What is Obsessive?


Persistent checking for ones keys would be classified as:

What is a compulsion?