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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Educating clients about maintaining a low-cholesterol diet is a form of primary prevention aimed at reducing risk factors for chronic diseases, but it does not directly address individuals already diagnosed with Parkinson's disease. This intervention focuses more on general health rather than managing an existing condition.
B) Providing screenings for early manifestations of Parkinson's disease represents secondary prevention, as it aims to identify the disease at an early stage to allow for timely intervention. However, this option does not apply to clients who already have Parkinson's disease, thus it is not a tertiary prevention strategy.
C) Educating clients about techniques used to diagnose Parkinson's disease is informative but primarily falls under secondary prevention. It pertains to awareness rather than actively managing the condition in those already diagnosed.
D) Providing daily exercise classes to improve ambulation for clients who have Parkinson's disease is a tertiary prevention strategy. This intervention focuses on rehabilitation and improving the quality of life for individuals already diagnosed with the disease, aiming to manage symptoms and prevent further complications associated with Parkinson's disease.
Correct Answer is B
Explanation
A) “I should expect the provider to evaluate the client within 4 hours of restraint application.”:The provider must evaluate the client within a shorter timeframe, typically within 1 hour of applying mechanical restraints, to ensure the client’s safety and appropriateness of the intervention.
B) “I should visually monitor the client continuously when in mechanical restraints.”:Continuous visual monitoring is essential to ensure the client’s safety and well-being while in mechanical restraints. This allows for immediate intervention if any complications or distress arise.
C) “I should assess the client’s skin integrity every 8 hours while in mechanical restraints.”:Skin integrity should be assessed more frequently, typically every 2 hours, to prevent skin breakdown and other complications associated with prolonged use of restraints.
D) “I should ask the provider to write a prescription for mechanical restraints as needed.”:Mechanical restraints should not be used on an as-needed basis. They require a specific, time-limited order from a provider, and their use must be justified and documented according to strict guidelines and protocols.
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