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HESI: Obsessive Compulsive Disorder
Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the main feature of obsessive-compulsive disorder?✔✔The presence of obsessions and compulsions that cause distress or impairment
What is an obsession in OCD?✔✔A recurrent, persistent thought or urge that is intrusive and unwanted
What is a compulsion in OCD?✔✔A repetitive behavior or mental act performed to reduce anxiety
Which therapy is considered most effective for OCD?✔✔Cognitive behavioral therapy with exposure and response prevention
Which class of medications is first-line treatment for OCD? 1 / 3
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✔✔Selective serotonin reuptake inhibitors (SSRIs)
What is the nurse’s best action when a client with OCD repeats handwashing?✔✔Allow the behavior initially but gradually introduce coping strategies
Which brain structure is often associated with OCD symptoms?✔✔The basal ganglia
What is the priority nursing diagnosis for a client with severe OCD?✔✔Anxiety related to intrusive thoughts and compulsive behaviors
What is the main purpose of performing compulsions in OCD?✔✔To temporarily relieve anxiety
What should the nurse avoid when caring for a client with OCD?✔✔Criticizing or punishing compulsive behaviors
Which physical problem may result from repeated compulsive handwashing? 2 / 3
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✔✔Skin breakdown and irritation
What is the long-term goal of treatment for OCD?✔✔Reduce the impact of obsessions and compulsions on daily functioning
Which outcome indicates improvement in OCD symptoms?✔✔The client can resist compulsions and tolerate some anxiety
What is the nurse’s priority when a client with OCD is distressed by intrusive thoughts?✔✔Provide reassurance and encourage use of coping skills
Which symptom differentiates OCD from normal rituals or habits?✔✔OCD rituals are excessive and interfere with daily life
What should the nurse encourage when a client is resisting compulsions?✔✔Use relaxation techniques and distraction strategies
Which neurotransmitter imbalance is most linked to OCD?
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