A nurse is assessing a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse expect?

Lack of empathy

Lability

Goal-oriented

Provocative behavior

Answer and Explanation

The Correct Answer is C

A) A lack of empathy is more commonly associated with antisocial personality disorder rather than obsessive-compulsive personality disorder (OCPD). Individuals with OCPD may have difficulty expressing emotions, but they often maintain a sense of morality and are capable of empathy, albeit it may be less visible due to their rigid thinking.

B) Lability, or rapid mood changes, is typically seen in borderline personality disorder rather than OCPD. Clients with obsessive-compulsive personality disorder often exhibit a stable mood but may be seen as overly serious or focused on order and control.

C) Clients with obsessive-compulsive personality disorder tend to be goal-oriented. They often exhibit perfectionism, meticulousness, and a strong need for orderliness, which drives their behavior. This focus on goals and tasks is a hallmark of OCPD, distinguishing it from other personality disorders that may not have this same level of achievement orientation.

D) Provocative behavior is more indicative of borderline or histrionic personality disorders. Individuals with OCPD typically do not engage in attention-seeking or provocative behaviors; instead, they are more reserved and focused on their own rigid standards and tasks.

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Correct Answer is B

Explanation

A) Advising the client to limit foods containing vitamin D is not appropriate. Phenytoin can lead to decreased vitamin D levels, making it important to maintain adequate vitamin D intake to support bone health. Therefore, there is no need to restrict these foods.

B) Taking phenytoin with food can help reduce gastrointestinal side effects and improve absorption, making this instruction crucial for the client’s adherence to the medication regimen. It is important for older adults, who may be more sensitive to medications, to have guidance on how to take their medications effectively.

C) Planning to take phenytoin with antacids is not advisable, as antacids can interfere with the absorption of phenytoin. The nurse should instruct the client to space these medications apart to avoid reduced effectiveness of phenytoin.

D) Limiting foods that contain folic acid is unnecessary and not typically advised. In fact, folic acid is important for overall health, and some patients on phenytoin may need additional folic acid supplementation, especially if they have a deficiency. Therefore, this instruction may lead to unintended nutritional deficiencies.

A. Perform the procedure prior to meals. B. Perform the procedure twice each day. C. Administer a bronchodilator after the procedure. D. Hold hand flat to perform percussions on the child.

Correct Answer is A

Explanation

A) Perform the procedure prior to meals: This is the correct action. Postural drainage should ideally be performed before meals to minimize the risk of vomiting and to ensure the child is comfortable during and after the procedure.

B) Perform the procedure twice each day: While frequency may vary based on the child's needs, it is often recommended to perform postural drainage more frequently than twice a day, depending on the severity of the condition and the child's specific respiratory needs.

C) Administer a bronchodilator after the procedure: Bronchodilators are typically administered before postural drainage to help open the airways and improve the effectiveness of the drainage. Giving them after the procedure is not standard practice.

D) Hold hand flat to perform percussions on the child: The correct technique for performing chest percussion is to cup the hand slightly, creating a pocket of air that helps to effectively dislodge mucus. A flat hand can be less effective and may not provide the necessary impact.

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A nurse is assessing a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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