cmn 552 Unit 3 | 2024-2025 LATEST UPDATE
COMPREHENSIVE QUESTIONS (Frequently
Most Tested) AND VERIFEID ANSWERS (100%
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1. What are the common intrusive thoughts, rituals, preoccupations, and
symptoms represented in compulsions
OCD? (Sadock, p. 418)
2. Differentiate between Obsession: A recurrent and intrusive thought,
an obsession and a feeling, idea, or sensation.
compulsion. (Sadock, p. Compulsion: A conscious, standardized, recurrent
418) behavior, such as counting, checking, or avoiding
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,11/18/24, 5:38 PM cmn 552 Unit 3 | 2024-2025 LATEST UPDATE COMPREHENSIVE QUESTIONS (Frequently Most Tested) AND VERIFEID A…
Lifetime prevalence in the general population
estimated at 2 to 3 percent.
Fourth most common psychiatric diagnosis.
Among adults, men and women are equally likely to
be affected.
Among adolescents, boys are more commonly
affected than girls.
Mean age of onset is about 20 years.
3. What is the prevalence The onset of the disorder can occur in adolescence
of OCD? or childhood, in some cases as early as 2 years of
age.
Single persons are more frequently affected with
OCD than are married persons, although this finding
probably reflects the difficulty that persons with the
disorder have maintaining a relationship.
Occurs less often among blacks than among whites,
although access to health care rather than
differences in prevalence may explain the variation.
The lifetime prevalence for major depressive
disorder with OCD is 67 percent and social
phobia 25 percent.
4. What are the common
comorbid psychiatric
Also, alcohol use disorder, generalized anxiety
conditions in patients
disorder, specific phobia, panic disorder, eating
with OCD? Sadock p. 418
disorders, and personality disorders. Tourette's
disorder 5-7 percent.
Tics 20-30 percent.
What are the risk factors There is a significant genetic component.
for the development of
OCD? Sadock p. 419
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,11/18/24, 5:38 PM cmn 552 Unit 3 | 2024-2025 LATEST UPDATE COMPREHENSIVE QUESTIONS (Frequently Most Tested) AND VERIFEID A…
There is a positive link between streptococcal
6. What etiological infections and OCD.
factors have been Altered function in neurocircuitry between
attributed to the orbitofrontal cortex, caudate, and thalamus.
development of OCD? Increased activity in the
Sadock p. 419-420 frontal lobes, basal ganglia and cingulum. Bilaterally
smaller caudates.
OCD differs from obsessive-compulsive personality
disorder, which is associated with an obsessive
concern for details, perfectionism, and other similar
personality traits.
Most persons with OCD do not have premorbid
compulsive symptoms, and such personality traits
are neither necessary nor sufficient for the
development of OCD. Only about 15 to 35 percent
of patients with OCD have had premorbid
obsessional traits.
Many patients with OCD may refuse to cooperate
7. Review the with effective treatments such as selective serotonin
psychosocial factors for reuptake inhibitors (SSRis) and behavior therapy.
the development of
OCD. (Sadock, p. 420) Patients may become invested in maintaining the
symptomatology because of secondary gains. For
example, a male patient, whose mother stays home
to take care of him, may unconsciously wish to hang
on to his OCD symptoms because they keep the
attention of his mother.
Research suggests that OCD may be precipitated by
a number of environmental stressors, especially
those involving pregnancy, childbirth, or parental
care of children. An understanding of the stressors
may assist the clinician in an overall treatment plan
that reduces the stressful events themselves or their
meaning to the patient.
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, 11/18/24, 5:38 PM cmn 552 Unit 3 | 2024-2025 LATEST UPDATE COMPREHENSIVE QUESTIONS (Frequently Most Tested) AND VERIFEID A…
8. In OCD patients, what Persons believe that merely by thinking about an
is "magical thinking"? event in the external world they can cause the event
(Sadock, p. 421) to occur without intermediate physical actions.
Patients with good or fair insight recognize that their
In what ways can the
OCD beliefs are definitely or probably not true or
psychiatric nurse
may or may not be true.
practitioner characterize
Patients with poor insight believe their OCD beliefs
(specify) insight in the
are probably true.
OCD patient? (Sadock, p.
Patients with absent insight are convinced that their
421)
beliefs are true.
Patients with OCD often take their complaints to
physicians other than psychiatrist.
Most patients with OCD have both obsessions &
What are the compulsions - up to 75%. Obsessions and
diagnostic/clinical compulsions are the essential feature of OCD.
features of OCD? Sadock
p.421 Sometimes, patients overvalue obsessions and
compulsions, for example they may insist that
compulsive cleanliness is morally correct, even
though they have lost their jobs because of time
spent cleaning.
-Contamination
-Pathological Doubt
What are the 4 major
-Intrusive Thoughts
symptom patterns in
-Symmetry
OCD? Sadock p421-422
-Other: religious obsessions and compulsions, hair
pulling, nail biting, masturbation
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