AIIMS Rishikesh & Jodhpur NO - 2017
Mental Health Nursing
Medium
An OCD patient feels good in his health so his family stops the treatment before 3 months. The nurse teaches the family about the drug is?
Appeared in: AIIMS Rishikesh & Jodhpur NO - 2017
Explanation
- The core principle of managing chronic psychiatric conditions like OCD is the necessity of long-term treatment to prevent relapse.
- Feeling better is a sign the medication is effective, not a signal that it is no longer needed. This is a critical concept for patients and families to understand.
- Most psychiatric disorders, including OCD, have high rates of chronicity and relapse, making continuation and maintenance therapy essential.
- Prematurely stopping medication, especially before 3-6 months, almost guarantees a return of symptoms.
Why Other Options Were Wrong
- Option B: While it's true that the most common medications for OCD (SSRIs) have a low potential for dependence, this is not the most critical teaching point in this scenario. The immediate and significant danger is the relapse of OCD symptoms.
- Option C: This statement is misleading because OCD is often considered a chronic condition that is managed, not 'totally cured'. Furthermore, it doesn't address the family's immediate misunderstanding that feeling good means treatment can stop. The primary message should be about the need for continued treatment.
- Option D: This is factually incorrect and dangerous advice. Stopping prescribed psychiatric medication without consulting a doctor is a wrong action that puts the patient at high risk for relapse and potential withdrawal symptoms.
Related Visual
Clinical Relevance
- Nursing practice connection: Safe nursing care depends on performing Patient and family education regarding medication adherence for Obsessive-Compulsive Disorder (OCD) in the correct sequence, documenting the action clearly, and monitoring for the expected response.
- Patient education is a cornerstone of nursing care in mental health. Failure to educate can lead to non-adherence, relapse, and re-hospitalization.
- Nurses must proactively address common misconceptions, such as the belief that feeling better means a cure has been achieved.
- Patient Safety: Abrupt discontinuation of some psychiatric medications can cause withdrawal syndromes or a rapid, severe return of symptoms, which can be a safety risk.
How to Approach the Question
- First, identify the clinical scenario: A patient with a chronic psychiatric illness (OCD) has their medication stopped by family because they are feeling well.
- Recognize the core problem: This is a classic case of non-adherence based on a misunderstanding of how psychiatric medications work.
- Analyze the nurse's role: The question asks what the nurse should teach. The priority is to correct the dangerous misconception and prevent harm (relapse).
- Evaluate the options based on the priority teaching point. Which option directly addresses the family's error?
- Option A ('Treatment for long time') directly corrects the family's misunderstanding that improvement is a signal to stop.
- Options B and C are secondary points, and Option D is incorrect. Therefore, the most crucial and immediate teaching is about the necessity of long-term treatment.
Concept Tested & Keywords
- Concept Tested: Patient and family education regarding medication adherence for Obsessive-Compulsive Disorder (OCD).
- Stem keywords: OCD patient, stops treatment, nurse teaches, family
- Lead-in keywords: The nurse teaches the family about the drug is?
- Clinical cues: Patient feels good, leading to premature discontinuation of treatment by the family.
Question ID
QXcFjuAKqX7wDyPP4KtshI
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 9820-9822
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) pp. 1909-1911, 1908-1910
Practise the full AIIMS Rishikesh & Jodhpur NO - 2017
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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