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) Rotate health care staff caring for the client: While having a variety of staff can provide different perspectives, it may not be the best approach for immunosuppressed clients. Consistency in care is often more beneficial, as it helps to minimize exposure to different pathogens.

B) Monitor the client's vital signs every 12 hr: Monitoring vital signs is important, but for clients with immunosuppression, more frequent monitoring is often necessary. This can help detect early signs of infection or complications that may arise more rapidly in this population.

C) Provide fresh fruit with the client's meals: Fresh fruits can pose a risk of bacterial contamination, particularly for immunosuppressed clients. It is generally safer to provide cooked fruits or fruit that has been properly washed and peeled to minimize this risk.

D) Inspect the client's mouth every 8 hr: Regular oral assessments are crucial for clients experiencing immunosuppression, as they are at a higher risk for oral infections and mucositis. This intervention allows for early detection and management of any abnormalities, thus promoting better overall health.

A. Avoid eye contact with the client. B. Encourage the client to lie down in a quiet room. C. Ask the client directly what he is hearing D. Refer to the hallucinations as if they are real.

Correct Answer is C

Explanation

A) Avoid eye contact with the client: Avoiding eye contact can create a sense of distance and may not promote a therapeutic relationship. Establishing appropriate eye contact can help convey attentiveness and support, even in clients experiencing hallucinations.

B) Encourage the client to lie down in a quiet room: While a quiet environment can be calming, simply lying down may not effectively address the hallucinations. Active engagement and coping strategies are often needed to help the client manage their symptoms.

C) Ask the client directly what he is hearing: This action is appropriate and therapeutic. By asking the client about their auditory hallucinations, the nurse validates the client’s experience and can help guide the conversation to better understand their perceptions and needs. This can also assist in developing coping strategies.

D) Refer to the hallucinations as if they are real: Acknowledging hallucinations as real can reinforce the delusional experience rather than helping the client to cope with or understand their symptoms. It is essential to approach the subject sensitively while maintaining a focus on reality, promoting safety and support.

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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?

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Naxlex Comprehensive Predictor Exams

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