Obsessive-compulsive disorders

Obsessive-compulsive disorders ( 36 Questions)

A nurse is educating a group of nursing students about the differential diagnosis of obsessive-compulsive disorders (OCDs) in comparison to other mental disorders. Which factor helps differentiate OCDs from other mental disorders?


Correct Answer: D

Choice A rationale:

Obsessions and compulsions in OCD are ego-dystonic, not ego-syntonic. Ego-dystonic refers to thoughts, feelings, or behaviors that are perceived as incompatible with one's self-concept. In OCD, individuals recognize that their obsessions and compulsions are irrational and unwanted, which causes distress.

Choice B rationale:

The connection of obsessions and compulsions to positive outcomes is not a distinguishing factor for OCD. In fact, obsessions and compulsions often lead to distress and interfere with daily functioning.

Choice C rationale:

The presence of distress or impairment is a key factor that helps differentiate OCD from other mental disorders. Unlike some other conditions where the behaviors or thoughts might not distress the individual, OCD is characterized by the distress caused by the irrational and unwanted obsessions and compulsions.

Choice D rationale:

This choice is the correct answer. Individuals with OCD recognize that their obsessions and compulsions are irrational and excessive, but they struggle to control them. This recognition is a hallmark of OCD and helps differentiate it from other conditions where the person might not be aware of the irrationality of their behavior.




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