Obsessive-Compulsive Disorder

Independent Analysis

10 Contact Hours - Course 987

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3. This Independent Analysis is for you to quiz your knowledge that you have obtained from reading this course material. This is an independent exercise. Your grade will not be recorded.

3. This Independent Analysis is for you to quiz your knowledge that you have obtained from reading this course material. This is an independent exercise. The results of your quiz will be automatically sent and recorded by NurseCE.

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6. Complete required Evaluation.

Instructions:
Answer each of the following questions (there is only one correct answer to each question).

1.	The patient with OCD has recurrent obsessions or compulsions which are severe enough to:

         A. be time consuming
         B. cause marked distress
         C. cause significant impairment
         D. all of the above

2.	Obsessions are persistent ideas, impulses, images, or thoughts that are

         A. superstitious
         B. inappropriate, intrusive, and anxiety provoking
         C. repetitive and annoying
         D. bothersome to others

3.	The goal of compulsions is to:

         A. reduce or prevent anxiety
         B. provide gratification or pleasure
         C. be organized
         D. always do things correctly

4.	The most current theory is that the cause of OCD is related to:

         A. decreased serotonin in the blood
         B. increased dopamine in the blood
         C. abnormal neurocircuitry
         D. parents' overemphasis on cleanliness or perfection

5.	The most common symptoms of OCD involve:

         A. a need for symmetry and order
         B. excessive checking, washing or cleaning
         C. unwanted aggressive or sexual thoughts
         D. the need to ask questions or confess sins

6.	OCD is considered as a diagnosis when:

         A. the patient exhibits five or more symptoms
         B. family members begin to complain about the
         C. the behavior results in significant impairment
         D. all of the above

7.	OCD is most effectively treated with:

         A. medication and cognitive therapy
         B. cognitive therapy and psychotherapy
         C. behavior therapy and cognitive therapy
         D. behavior therapy and medication

8.	The most common medications used to treat OCD are:

         A. Parnate and Nardil
         B. Luvox, Prozac, Zoloft, Paxil, and Anafranil
         C. Effexor and haloperidol
         D. Lithium, risperidone and buspirone

9.	SRI's and SSRI's work by:

         A. slowing the reuptake of serotonin
         B. increasing blood levels of serotonin
         C. inhibiting the effectiveness of serotonin
         D. producing more serotonin

10.	Side effects of the SSRI's include:

         A. restlessness, impulsiveness, sleepiness, impaired
         B. weight loss, headaches, insomnia, decreased
         C. tremors, weakness, nausea, abdominal pain,
         D. all of the above

11.	Side effects of Anafranil include:

         A. dry mouth, constipation, excessive sweating
         B. tachycardia, dizziness, tremor, agitation,
         C. diarrhea, headaches, bradycardia, weight loss,
         D. A and B

12.	Sexual side effects of the SSRI's and SRI's include:

         A. lowered sexual drive
         B. delayed ability to have an erection or orgasm
         C. spontaneous orgasms while yawning
         D. all of the above

13.	Low doses of anti-obsessional medications:

         A. are never effective for treating OCD
         B. are usually sufficient to relieve OCD symptoms
         C. reduce OCD symptoms in a very small number
         D. are most effective in patients who are depressed

14.	Special caution should be used when giving SSRI's and SRI's to:

         A. patients with heart disease or liver disease
         B. diabetics and elderly patients
         C. patients with impaired kidney function
         D. patients with depression

15.	Side effects of MAOI's include:

         A. blood pressure changes, edema, fatigue, tremors
         B. anxiety, insomnia, drowsiness, dizziness,
         C. dry mouth, gastric distress, constipation,
         D. all of the above

16.	The interval between trials of Prozac and MAOI's must be

         A. 2 weeks
         B. 5 weeks
         C. 1 month
         D. no interval is needed

17.	The principle behavioral techniques for treating OCD are:

         A. thought stopping and aversive conditioning
         B. exposure and response prevention
         C. desensitization and flooding
         D. implosion therapy and exposure

18.	The purpose of exposure is to:

         A. help the patient relax
         B. assist the patient in avoiding obsessions
         C. decrease the anxiety and discomfort associated
         D. expose obsessive thoughts and compulsive behaviors

19.	The purpose of response prevention is to:

         A. assist the patient in avoiding obsessions
         B. decrease the frequency of rituals or obsessive
         C. physically prevent the patient from participating
         D. all of the above

20.	Behavior therapy works best when:

         A. the therapist is well trained in behavior
         B. the patient is highly anxious and desperate
         C. the patient's family provides constant reassurance
         D. all of the above

21.	Cognitive therapy involves:

         A. changing the patient's behavior
         B. attempts to change distorted thinking and
         C. helping the patient get in touch with his
         D. exploring the patient's dysfunctional childhood

22.	OCD patients tend to:

         A. overestimate risks
         B. have poor tolerance of social expectations
         C. have a decreased sense of responsibility
         D. all of the above

23.	The Four-Step Self-Treatment Method is used:

         A. to supplement exposure and response prevention
         B. as a stand-alone intervention
         C. in conjunction with psychotherapy
         D. only with patients who have checking and washing

24.	Supportive psychotherapy:

         A. is frequently used to treat OCD patients
         B. may be helpful in conjunction with behavior
         C. is used to explore attitudes about cleanliness
         D. B and C

25.	Support groups can help in all of the following ways except:

         A. helping OCD patients realize that their symptoms
         B. assisting the OCD patient's family in dealing
         C. providing education about OCD
         D. arranging for funding of outpatient treatment

26.	Children and adolescents with OCD have a tendency:

         A. towards perfectionism and have a more adult-like
         B. to be less intelligent than their peers
         C. to have more anger and guilt
         D. A and C

27.	Pregnant women should:

         A. never take anti-obsessional medications
         B. take the smallest dose possible and avoid
         C. avoid taking Anafranil and Prozac
         D. B and C

28.	About two-thirds of OCD patients have:

         A. suffered from other anxiety disorders
         B. Tourette's Syndrome
         C. a major depressive episode during their lifetime
         D. Obsessive-Compulsive Personality Disorder

29.	Tests that may be ordered during the treatment of OCD include:

         A. complete blood counts
         B. CT scans
         C. electroencephalograms
         D. all of the above

30.	Anti-obsessional medications may not begin working for:

         A. 1 to 2 weeks
         B. 4 to 6 weeks
         C. up to 8 weeks
         D. up to 12 weeks

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