A nurse in a community clinic is caring for a client who requests assistance with smoking cessation. The nurse should expect a prescription for which of the following medications?

A. Calories. Significant increases in caloric intake are not necessary during the first trimester. Most women do not require additional calories until the second and third trimesters, when fetal growth accelerates.
B. Folate. Folate (or folic acid) is crucial during early pregnancy, particularly in the first trimester, to prevent neural tube defects such as spina bifida. Women are advised to increase folate intake before conception and during early pregnancy.
C. Calcium. Calcium needs increase later in pregnancy when the fetus's bone development intensifies. While important throughout pregnancy, calcium is not the most critical nutrient to increase specifically in the first trimester.
D. Protein. Protein is essential for fetal growth, but increased protein needs become more important in the second and third trimesters when fetal tissue development peaks. Early pregnancy focuses more on folate supplementation for neural development.

A. Shows perfectionism. Clients with obsessive-compulsive personality disorder (OCPD) are characterized by perfectionism, a preoccupation with orderliness, control, and rules, and a need for mental and interpersonal control, often at the expense of flexibility and efficiency.

B. Takes advantage of others. This behavior is more typical of antisocial personality disorder, not OCPD. Clients with OCPD tend to be highly conscientious, not manipulative or exploitative.

C. Irritability. While clients with OCPD may become frustrated or anxious if things are not done their way, chronic irritability is not a hallmark feature of the disorder.

D. Impulsivity. Impulsivity is more commonly associated with borderline or antisocial personality disorders. In contrast, clients with OCPD are typically rigid, cautious, and rule-bound.