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 C
Explanation
A) Flushing: Flushing can occur as the body tries to regulate temperature, but it is not typically an adverse reaction to cooling measures.
B) Restlessness: While restlessness can indicate discomfort, it is not a specific sign of an adverse reaction to cooling therapy.
C) Shivering: This is the correct answer. Shivering is a direct response to cold exposure and indicates that the body is trying to generate heat in response to the cooling blanket. It can be an adverse reaction as it can increase metabolic demand and may counteract the intended effects of the cooling.
D) Tachycardia: Although an increase in heart rate can occur with fever or anxiety, it is not a definitive indicator of an adverse reaction to cooling. It can also be a normal physiological response.
Correct Answer is B
Explanation
A) "A nurse will draw blood from your baby's inner elbow.": This statement is misleading, as newborn screening is typically performed using a heel prick to collect blood from the heel rather than drawing blood from the inner elbow, which is not standard practice for infants.
B) "This test should be performed after your baby is 24 hours old.": This is correct. Newborn genetic screening is ideally conducted after the baby is at least 24 hours old to ensure accurate results, especially for metabolic conditions that may not be detectable earlier.
C) "This test will be repeated when your baby is 2 months old.": This statement is inaccurate. While some follow-up tests may be conducted, routine newborn screening is typically not repeated at 2 months unless there are abnormal results from the initial screening.
D) "Your baby will be given 2 ounces of water to drink prior to the test.": This statement is incorrect, as newborns are usually not given water before the screening test. The test is performed without prior hydration, and feeding may not be necessary right before the heel prick.
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