UPUMS Nsg officer-2023
Mental Health Nursing
Easy
In OCD, ______ are thoughts and ______ are actions.
Appeared in: UPUMS Nsg officer-2023
Explanation
- In Obsessive-Compulsive Disorder (OCD), the two core symptoms are obsessions and compulsions.
- Obsessions are defined as recurrent, persistent, and intrusive thoughts, urges, or images that cause significant anxiety.
- Compulsions are repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession.
- The key distinction is that obsessions are the mental events (thoughts), and compulsions are the behavioral or mental responses (actions) to those thoughts.
Why Other Options Were Wrong
- Option A: A delusion is a fixed, false belief that is unshakeable, which is characteristic of psychotic disorders like schizophrenia, not the intrusive thoughts seen in OCD.
- Option C: This option incorrectly reverses the correct terms. Compulsions are the actions, and obsessions are the thoughts.
- Option D: A conviction is a firmly held belief. While a person with OCD can have varying levels of insight (conviction) about their obsessions, the term for the repetitive actions they perform is 'compulsions'.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition and components of Obsessive-Compulsive Disorder (OCD) as background academic context rather than a clinical decision trigger.
- Correctly identifying obsessions and compulsions is the first step in diagnosing OCD and creating an effective nursing care plan.
- This distinction is crucial for implementing therapies like Exposure and Response Prevention (ERP), where the nurse helps the patient confront obsessive thoughts without performing the compulsive ritual.
- What if? If a patient's intrusive thoughts were accompanied by a loss of contact with reality and a belief that the thoughts were being inserted by an outside force, the diagnosis would shift from OCD towards a psychotic disorder like schizophrenia, requiring antipsychotic medication rather than primarily SSRIs and ERP.
How to Approach the Question
- First, analyze the question's structure. It's a fill-in-the-blank question asking for the specific terms for 'thoughts' and 'actions' in the context of OCD.
- Recall the fundamental definitions of Obsessive-Compulsive Disorder.
- Define 'obsession' in your mind. It is an intrusive, unwanted thought, image, or urge.
- Define 'compulsion' in your mind. It is a repetitive behavior or mental act performed to relieve the anxiety from an obsession.
- Match your definitions to the blanks. 'Thoughts' corresponds to 'obsessions', and 'actions' corresponds to 'compulsions'.
- Evaluate the given options to find the one that matches your conclusion: Obsessions, compulsions.
Concept Tested & Keywords
- Concept Tested: Definition and components of Obsessive-Compulsive Disorder (OCD)
- Stem keywords: OCD, thoughts, actions
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Negative lead-in flag: false
Question ID
Qo1c46mlGlQjkQXnrz03px
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. 5912-5914
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1341-1343
Practise the full UPUMS Nsg officer-2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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