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 D

Explanation

A) Noting changes in the treatment plan in the client's medical record: While this is important for continuity of care, it may not directly facilitate communication among staff in real-time or promote a collaborative approach.

B) Recording the client's progress in the nurses' notes: Documenting progress is essential, but it serves more as a record of care rather than an active communication tool among the team members.

C) Posting swallowing precautions at the head of the client's bed: This helps ensure that all staff are aware of the precautions, but it does not promote a broader dialogue about the client's overall care and communication needs.

D) Having interdisciplinary team meetings for the client on a regular basis: This is the correct answer. Regular interdisciplinary meetings encourage collaborative communication, allowing various healthcare professionals to discuss the client’s needs, share observations, and develop a cohesive care plan, which is especially important for clients with communication barriers like expressive aphasia.

A. Use up to 40 nicotine lozenges per day. B. Substitute tobacco use with an electronic cigarette. C. Limit use of nicotine gum to 6 months. D. Use progressively larger nicotine patches.

Correct Answer is C

Explanation

A) Using up to 40 nicotine lozenges per day is excessive. The typical recommendation is to limit the use of nicotine lozenges to 5-6 per day, as excessive use can lead to nicotine toxicity and increased withdrawal symptoms.

B) Substituting tobacco use with an electronic cigarette is not recommended as a treatment option. While e-cigarettes may reduce exposure to some harmful substances found in traditional tobacco products, they can still maintain nicotine addiction and are not a clinically approved smoking cessation method.

C) Limiting the use of nicotine gum to 6 months is appropriate. While nicotine replacement therapies can be helpful for managing withdrawal symptoms, prolonged use beyond 6 months may not be beneficial and can maintain dependence on nicotine.

D) Using progressively larger nicotine patches is not the recommended approach. Nicotine patches should typically be started at a prescribed dose based on the client's previous nicotine use and adjusted as necessary, rather than increasing the dose without proper guidance.

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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 D

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Explanation

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