Anxiety Disorder-Obsessive-Compulsive Disorder
Scenario
Lauren is a female Caucasian who has been diagnosed with social anxiety disorder. The disorder has affected her daily activities. She suffers from obsessive thoughts and compulsive behaviors. Hire our assignment writing services in case your assignment is devastating you.
Clinical Signs of Anxiety
Signs of anxiety observed in the video include restlessness, a sense of impending danger, and trembling (Chand & Marwaha, 2022). Lauren appears restless and shaky during the interview. She worries that her grandfather will die, yet he is not sick.
Obsessive Compulsive Behaviors
Compulsive behaviors seen in the video include touching objects, repeating actions, and confessing (Brock & Hany, 2022). Lauren prepares breakfast for her grandfather every day at 9 A.M. and counts the number of students in her class through every lesson period. She organizes her room to ensure it looks the same way daily. Her bathroom must have an exact number of three body washes. Lauren touches her hair throughout the interview. She confesses how she felt about her classmates, specifically her popular female classmate. Obsessive behaviors in the video include safety, contamination, and scrupulosity (Brock & Hany, 2022). Lauren is convinced that the popular female classmate is after her; therefore, she does not feel safe. She is worried about people spreading germs and is afraid of saying the wrong thing and offending people.
Therapeutic Communication Techniques
The nurse was calm throughout the interview. Anxiety is contagious and can be transferred from Lauren to the nurse and vice versa (Rose & Tadi, 2022). The nurse must stay calm to ensure that the patient is calm and does not feel threatened. The nurse is an active listener. She responds to Lauren’s explanations and even asks questions. The nurse is patient; she listens to the patient without interruption throughout the interview. The patient was interviewed in a private and non-stimulating environment. The interview is in a quiet room with dim lighting where there are no interruptions. A stimulating environment, such as a room with other people or a noisy room, can increase Lauren’s anxiety.
Nursing Interventions
The nurse must acknowledge Lauren’s feelings and experiences to increase trust between the nurse and Lauren. When Lauren trusts the nurse, she will be more comfortable and open to discussing her condition and treatment plan. The nurse should assist Lauren in identifying possible precipitating factors. Once Lauren is aware of factors that precipitate her social anxiety, she will be able to interrupt an escalating anxiety episode. Lauren’s treatment plan might include anxiety medications (Rose & Tadi, 2022). It is the nurse’s role to ensure the patient takes her anxiety medication as prescribed. Lauren shows signs of negative internal dialogue when she describes her feelings towards her popular classmate. The nurse should educate the patient on the importance of positive internal dialogue and the negative impacts of negative self-talk. The nurse can encourage the patient to verbalize her internal thoughts so that they can identify the more positive ones.
Exercise and physical activity are other essential nursing interventions. Lauren should be encouraged to participate in regular physical activity to increase endorphin levels, decrease anxiety, and improve well-being. Non-pharmacological interventions such as relaxation techniques and guided imagery enhance the release of endorphins. Since Lauren will be discharged from the hospital later, the nurse must ensure she is independent and comfortable at home in case of an anxiety episode. The nurse should identify resources Lauren can use at home to manage and prevent breakthrough anxiety. Lauren should also be educated on how to cope with anxiety. The nurse must ask Lauren which coping mechanisms she found effective. The nurse should also aim to instill confidence in Lauren to handle anxiety episodes alone.
References
Brock, H., & Hany, M. (2022). Obsessive-Compulsive Disorder. StatPearls Publishing; https://www.ncbi.nlm.nih.gov/books/NBK553162/.
Chand, S. P., & Marwaha, R. (2022). Anxiety. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470361/.
Rose, G. M., & Tadi, P. (2022). Social Anxiety Disorder. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/
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Question 
Module 08 Case Study – Anxiety Disorder/Obsessive-Compulsive Disorder
Module 08 Content
Case Study – Anxiety Disorder/Obsessive Compulsive Disorder
Course Competency
Assemble nursing care interventions for clients with behavioral or cognitive disorders.
Anxiety Disorder-Obsessive-Compulsive Disorder
Scenario
Lauren has been diagnosed with Social Anxiety Disorder and experiences obsessive thoughts that result in compulsive behaviors. This has a major impact on her life and day-to-day functioning.
Instructions
View the video segments 1, 2, and 3 for Lauren.
Notice how the nurse continues to gather information to assess the extent of Lauren’s illness. The content relates to the objective that you will be able to describe the symptoms of anxiety and OCD.
Segment 1
https://search-alexanderstreet-com.eu1.proxy.openathens.net/view/work/bibliographic_entity%7Cvideo_work%7C3896229
Segment 2
https://search-alexanderstreet-com.eu1.proxy.openathens.net/view/work/bibliographic_entity%7Cvideo_work%7C3896231
Segment 3
https://search-alexanderstreet-com.eu1.proxy.openathens.net/view/work/bibliographic_entity%7Cvideo_work%7C3896233
Create a document which contains this information:
Describe at least three clinical signs of Anxiety observed in the videos.
Describe at least three Obsessive-Compulsive behaviors observed in the videos.
Explain at least three therapeutic communication techniques used by the nurse in the videos.
Discuss at least two nursing interventions appropriate for Lauren. Support your choices with rationales.
Support your ideas with at least two credible resources.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Module 08 Case Study – Anxiety Disorder/Obsessive-Compulsive Disorder
Rubric Details
Maximum Score
40 points
Describe Clinical Signs of Anxiety
25% of total grade
Mastery: Advanced or exceeds achievement
Thoroughly describes 3 clinical signs of anxiety observed in the videos.
10
Proficiency: Clear/effective achievement
Accurately describes at least 3 clinical signs of anxiety observed in the videos.
9.3
Competence: Adequate/basic achievement
Basic attempt to describe at least 3 clinical signs of anxiety demonstrated in the videos.
8.4
Emerging: Limited or growing achievement
Minimal attempt to describe at least 3 clinical signs of anxiety demonstrated in the videos or describes less than 3 clinical signs demonstrated in the videos.
6.5
Describe OCD Behaviors
25% of total grade
Mastery: Advanced or exceeds achievement
Thoroughly describes 3 symptoms of OCD behaviors observed in the videos.
10
Proficiency: Clear/effective achievement
Accurately describes at least 3 OCD behaviors observed in the videos.
9.3
Competence: Adequate/basic achievement
Basic attempt in describing at least 3 OCD behaviors observed in the videos.
8.4
Emerging: Limited or growing achievement
Minimal attempt to describe at least 3 OCD behaviors observed in the videos or describe less than 3 behaviors observed in the videos.
6.5
Explain Therapeutic Communication Techniques
20% of total grade
Mastery: Advanced or exceeds achievement
Thoroughly explain at least 3 therapeutic communication techniques used by the nurse in the videos.
8
Proficiency: Clear/effective achievement
Accurately explains at least 3 therapeutic communication techniques used by the nurse in the videos.
7.44
Competence: Adequate/basic achievement
Basic attempt to explain at least 3 therapeutic communication techniques used by the nurse in the videos.
6.72
Emerging: Limited or growing achievement
Minimal attempt to explain at least 3 therapeutic communication techniques used by the nurse in the videos or describes less than 3 therapeutic communication techniques used by the nurse in the videos.
5.2
Discuss Nursing Interventions and Rationale
20% of total grade
Mastery: Advanced or exceeds achievement
A thorough discussion of at least 2 nursing interventions and includes rationales.
8
Proficiency: Clear/effective achievement
Accurate discussion of at least 2 nursing interventions and includes rationales.
7.44
Competence: Adequate/basic achievement
Basic discussion of at least 2 nursing interventions and includes rationales.
6.72
Emerging: Limited or growing achievement
Minimal discussion of at least 2 nursing interventions, did not include rationales, or describes less than 3 interventions.
5.2
APA, Spelling, Grammar
10% of total grade
Mastery: Advanced or exceeds achievement
Used at least 2 credible resources. APA citations are free of style and formatting errors. Demonstrates an exemplary application of spelling and grammar.
4
Proficiency: Clear/effective achievement
Used at least 2 credible resources. Errors in APA citations are less noticeable and do not detract from the ability to locate original source (for example, a misused comma or period, missing parenthesis, author name not properly abbreviated, indentations misaligned). Displays proper grammar application and writing contains minimal to no spelling errors. May contain rare improper uses of words (ex., their vs. there), a misplaced modifier, or a run-on sentence, but does not detract from the overall understanding of the sentence and/or paragraph.
3.72
Competence: Adequate/basic achievement
Used at least 2 credible resources. Errors in APA citations are noticeable and may detract from the ability to locate the original source (for example, no title provided, year of publication is missing, no punctuation). Spelling and grammar errors occur but are inconsistent. Paragraphs and sentences are coherent but may exhibit spelling errors, run-ons or fragments, and/or improper verb tense usage.
3.36
Emerging: Limited or growing achievement
Did not use at least 2 credible resources. Citations do not follow APA Style. Quotations, paraphrases, and summaries are not cited, or there is no attempt to cite them using APA style. Spelling and grammar contain substantial errors that make sentences and/or paragraphs incoherent.