AIIMS Rishikesh & Jodhpur NO - 2017
Mental Health Nursing
Hard
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
- Obsessive-Compulsive Disorder (OCD) is a chronic psychiatric condition characterized by high rates of relapse.
- The primary goal of pharmacotherapy is long-term symptom management, not a 'cure'.
- Feeling well is an indicator that the medication is effective, and stopping it prematurely, especially before 1-2 years of maintenance, significantly increases the risk of symptom recurrence.
- The most critical teaching point for the family is that treatment must be continued long-term, even during periods of wellness, to prevent relapse.
Why Other Options Were Wrong
- Option B: While it is true that the most common medications for OCD (SSRIs) are not associated with dependence in the same way as benzodiazepines, this is not the most critical teaching point. The immediate danger is relapse of OCD symptoms, not drug dependence.
- Option C: This statement is misleading because OCD is generally not considered 'curable' but rather manageable. It also places the focus on a future action ('doctor will stop') rather than the immediate problem (the need to restart and continue treatment now). The core message should be about the necessity of long-term therapy.
- Option D: This is incorrect and dangerous advice. Abruptly stopping psychiatric medication without medical supervision can lead to withdrawal symptoms and a high likelihood of relapse. The family's action was inappropriate and potentially harmful.
Related Visual
Clinical Relevance
- Nursing practice connection: Safe nursing care depends on performing Medication adherence and patient/family education 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. Nurses must ensure patients and their families understand the rationale, duration, and goals of treatment to promote adherence.
- Preventing relapse is a major goal in managing chronic illnesses like OCD. Educating the family about the risks of premature discontinuation is a critical patient safety intervention.
- What if the family stopped the medication because the patient was experiencing significant side effects? The nurse's approach would shift. The priority would be to advise them to contact the doctor immediately to report the side effects and discuss alternative treatment options, while still emphasizing not to stop the medication abruptly on their own.
How to Approach the Question
- First, identify the core clinical problem in the scenario: A patient with a chronic psychiatric condition (OCD) has prematurely stopped medication.
- Next, analyze the reason for stopping: The patient and family mistakenly believe that feeling better means the illness is cured.
- Consider the most immediate risk associated with this action: Relapse of OCD symptoms.
- Determine the priority nursing intervention. The priority is to correct the misunderstanding and prevent the risk. This requires education.
- Evaluate the options based on which one provides the most critical and accurate educational point. The need for long-term treatment to prevent relapse is the most important message to convey.
Concept Tested & Keywords
- Concept Tested: Medication adherence and patient/family education for Obsessive-Compulsive Disorder (OCD)
- Stem keywords: OCD patient, stops the treatment, nurse teaches, family
- Lead-in keywords: The nurse teaches
- Clinical cues: Patient feels good: This is a key cue indicating the medication is working, but it's also the reason for the family's misunderstanding.
- Clinical cues: Stops treatment before 3 months: This highlights the premature discontinuation, which is a critical safety and efficacy issue.
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) p. 1909-1911
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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