Maryville University NURS 661 Exam 3 Mega
Deck/ Q&A/ 2024-2025.
OCD common co-morbid conditions - Answer: MDD (Major depressive disorder)
Skin Picking
Hair Pulling
Most Common Compulsions - Answer: Checking
Ordering
Arranging
Washing/cleaning
Hand-washing
Flipping lights
Counting
Differentiation between OCD and eating disorders - Answer: Those with eating disorders will be
counting calories, focused on weight loss or maintaining a specific weight
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,Treatment for OCD - Answer: Cognitive Behavioral Therapy
Pharmacological Treatment for OCD - Answer: First line treatment-SSRI (Luvox, fluoxetine)
Second-line treatment TCA with serotonergic properties (clomipramine)
SNRI or MAOI
Augmentation with benzos, lithium, or Buspar
DSM-5 Body Dysmorphic Disorder - Answer: Preoccupation with perceived flaw on body taht is
not observed by others
Repetitive behaviors such as mirror checking, excessive grooming, skin picking, reassurance
seeking, clothes changing
Clinical significance
Differentiation from eating disorder
BDD common preoccupations - Answer: Facial flaws
genitalia
Differentiation between BDD and eating disorders - Answer: BDD is more obsessed with one
specific body flow, not the entire body
Differentiation between BDD and OCD - Answer: OCD may have food rituals but not obsession
on a specific body flaw
Treatment for BDD - Answer: Cognitive Behavioral Therapy
Pharmacological treatment of BDD - Answer: Clomipramine and fluoxetine reduce symptoms in
about 50% of patients
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,DSM-5 Hoarding Disorder - Answer: A. Persistent difficulty discarding or parting with
possessions, regardless of their actual value
B. This difficulty is due to a perceived need to save the items and to distress associated with
discarding them
C. The difficulty discarding possessions results in the accumulation of possessions that congest
and clutter active living areas and substantially compromises their intended use.
D. The hoarding causes clinically significant distress or impairment in social, occupational, or
other important areas of functioning
E. The behavior is not attributable to another medical condition
F. The hoarding is not better explained by the symptoms of another mental disorder
Hoarding Treatment - Answer: Cognitive Behavioral Therapy
Hoarding Pharmacological Treatment - Answer: SSRI (difficult to treat with medication)
Hoarding Safety Issues - Answer: Falls
Fires
Stuff falling on them
Infections
Health hazards
Cleaning hazards
DSM-5 Trichotillomania - Answer: A. Recurrent pulling out on one's hair, resulting in hair loss
B. Repeated attempts to decrease or stop hair pulling
C. The hair pulling causes clinically significant distress or impairment in social, occupational, or
other important areas of functioning
D. The hair pulling or hair loss is not attributable to another medical condition
E. The hair pulling is not better explained by the symptoms of another mental disorder
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, Automatic Trichotillomania - Answer: Automatic response, the patient doesn't even know they
are doing it
Forced Trichotillomania - Answer: Conscious response, patient knows they are doing it to relieve
tension
Who's most at risk for trichotilomania? - Answer: Only or oldest child
More common in females
Trichotillomania Treatment - Answer: Cognitive Behavioral Therapy
Limited pharmacology- may use naltrexone if they get pleasure from it
B12 injections if the patient has a B12 deficiency
DSM-5 Criteria for Insomnia - Answer: A. A predominant complaint of dissatisfaction with sleep
quantity or quality, associated with one (or more) of the following symptoms:
1. Difficulty initiating sleep
2. Difficulty maintaining sleep, characterized by frequent awakenings or problems returning to
sleep after awakenings
3. Early-morning awakening with inability to return to sleep
B. The sleep disturbance causes clinically significant distress or impairment in social,
occupational, educational, academic, behavioral, or other important areas of functioning
C. The sleep difficulty occurs at least 3 nights per week
D. The sleep difficulty is present for at least 3 months
The sleep difficulty is occurring despite adequate opportunity for sleep
E. The sleep difficulty is occurring despite adequate opportunity for sleep
F. The insomnia is not better explained by and does not occur exclusively during the course of
another sleep-wake disorder
G. The insomnia is not attributable to the physiological effects of a substance
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Deck/ Q&A/ 2024-2025.
OCD common co-morbid conditions - Answer: MDD (Major depressive disorder)
Skin Picking
Hair Pulling
Most Common Compulsions - Answer: Checking
Ordering
Arranging
Washing/cleaning
Hand-washing
Flipping lights
Counting
Differentiation between OCD and eating disorders - Answer: Those with eating disorders will be
counting calories, focused on weight loss or maintaining a specific weight
Page 1 of 63
,Treatment for OCD - Answer: Cognitive Behavioral Therapy
Pharmacological Treatment for OCD - Answer: First line treatment-SSRI (Luvox, fluoxetine)
Second-line treatment TCA with serotonergic properties (clomipramine)
SNRI or MAOI
Augmentation with benzos, lithium, or Buspar
DSM-5 Body Dysmorphic Disorder - Answer: Preoccupation with perceived flaw on body taht is
not observed by others
Repetitive behaviors such as mirror checking, excessive grooming, skin picking, reassurance
seeking, clothes changing
Clinical significance
Differentiation from eating disorder
BDD common preoccupations - Answer: Facial flaws
genitalia
Differentiation between BDD and eating disorders - Answer: BDD is more obsessed with one
specific body flow, not the entire body
Differentiation between BDD and OCD - Answer: OCD may have food rituals but not obsession
on a specific body flaw
Treatment for BDD - Answer: Cognitive Behavioral Therapy
Pharmacological treatment of BDD - Answer: Clomipramine and fluoxetine reduce symptoms in
about 50% of patients
Page 2 of 63
,DSM-5 Hoarding Disorder - Answer: A. Persistent difficulty discarding or parting with
possessions, regardless of their actual value
B. This difficulty is due to a perceived need to save the items and to distress associated with
discarding them
C. The difficulty discarding possessions results in the accumulation of possessions that congest
and clutter active living areas and substantially compromises their intended use.
D. The hoarding causes clinically significant distress or impairment in social, occupational, or
other important areas of functioning
E. The behavior is not attributable to another medical condition
F. The hoarding is not better explained by the symptoms of another mental disorder
Hoarding Treatment - Answer: Cognitive Behavioral Therapy
Hoarding Pharmacological Treatment - Answer: SSRI (difficult to treat with medication)
Hoarding Safety Issues - Answer: Falls
Fires
Stuff falling on them
Infections
Health hazards
Cleaning hazards
DSM-5 Trichotillomania - Answer: A. Recurrent pulling out on one's hair, resulting in hair loss
B. Repeated attempts to decrease or stop hair pulling
C. The hair pulling causes clinically significant distress or impairment in social, occupational, or
other important areas of functioning
D. The hair pulling or hair loss is not attributable to another medical condition
E. The hair pulling is not better explained by the symptoms of another mental disorder
Page 3 of 63
, Automatic Trichotillomania - Answer: Automatic response, the patient doesn't even know they
are doing it
Forced Trichotillomania - Answer: Conscious response, patient knows they are doing it to relieve
tension
Who's most at risk for trichotilomania? - Answer: Only or oldest child
More common in females
Trichotillomania Treatment - Answer: Cognitive Behavioral Therapy
Limited pharmacology- may use naltrexone if they get pleasure from it
B12 injections if the patient has a B12 deficiency
DSM-5 Criteria for Insomnia - Answer: A. A predominant complaint of dissatisfaction with sleep
quantity or quality, associated with one (or more) of the following symptoms:
1. Difficulty initiating sleep
2. Difficulty maintaining sleep, characterized by frequent awakenings or problems returning to
sleep after awakenings
3. Early-morning awakening with inability to return to sleep
B. The sleep disturbance causes clinically significant distress or impairment in social,
occupational, educational, academic, behavioral, or other important areas of functioning
C. The sleep difficulty occurs at least 3 nights per week
D. The sleep difficulty is present for at least 3 months
The sleep difficulty is occurring despite adequate opportunity for sleep
E. The sleep difficulty is occurring despite adequate opportunity for sleep
F. The insomnia is not better explained by and does not occur exclusively during the course of
another sleep-wake disorder
G. The insomnia is not attributable to the physiological effects of a substance
Page 4 of 63
