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) The statement about returning to school once the fever has subsided is not sufficient for varicella. Children should not return until the lesions have crusted over to prevent spreading the infection.

B) The recommendation that the child can return to school once the lesions have crusted over is accurate. Varicella is contagious from 1 to 2 days before the rash appears until all lesions have crusted over, which usually occurs about 6 days after the onset of the rash.

C) A negative titer result is not necessary for a child to return to school. Immunity can be confirmed through vaccination history or prior infection; thus, this statement is misleading.

D) Since varicella is a viral infection, antibiotics are not indicated for treatment. Therefore, stating that the child can return to school 24 hours after beginning antibiotics is incorrect and could lead to misunderstanding about the management of the illness.

A. "That can't be true. The only voices in this room are yours and mine." B. "Do you recognize the voices as belonging to anyone you know?" C. "I understand the voices are frightening you, but I do not hear any voices." D. "You shouldn't be afraid when you think the voices are telling you to hurt yourself."

Correct Answer is C

Explanation

A. "That can't be true. The only voices in this room are yours and mine.": This response dismisses the client’s experience and can invalidate their feelings, which is not therapeutic or supportive.

B. "Do you recognize the voices as belonging to anyone you know?": While this question could gather more information, it might divert the focus from the client’s immediate feelings of fear and distress.

C. "I understand the voices are frightening you, but I do not hear any voices.": This response validates the client's experience of fear and acknowledges their distress while also gently indicating that the nurse does not perceive the voices. It encourages open communication about the client’s feelings.

D. "You shouldn't be afraid when you think the voices are telling you to hurt yourself.": This response is inappropriate as it minimizes the client’s feelings and does not address the seriousness of their statements about self-harm. It’s crucial to acknowledge their fear rather than dismissing it.

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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

A nurse is providing teaching to a parent of a child who has varicella. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse observes a client on the psychiatric unit muttering and standing near a window. The client states, "The voices are telling me to jump." Which of the following is an appropriate response by the nurse?

Correct Answer is C

Explanation

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