A nurse is caring for a client who has borderline personality disorder (BPD). As part of the client's plan of care, the nurse reviews the day's schedule with the client each morning. As the nurse begins to review the schedule with the client, the client says, "Why don't you shut up already? I can read it myself, you know!" Which of the following responses should the nurse give the client?

B. Ability to perform calculations: Assessing the client's ability to perform calculations helps in evaluating cognitive functioning. Impairments in calculation abilities can indicate cognitive decline associated with dementia. Tasks such as simple arithmetic or counting backward can be included in the assessment.

C. Long-term memory: Evaluating long-term memory is essential as it helps assess the client's ability to recall events, experiences, and information from the distant past. Long-term memory deficits are often seen in various types of dementia, and assessing this aspect provides valuable information about the extent of cognitive impairment.

D. Level of orientation: Assessing the client's level of orientation to time (e.g., awareness of date, day, season), place (e.g., awareness of current location), and person (e.g., awareness of self and others) is crucial in evaluating cognitive function. Orientation deficits are common in dementia and can provide insights into the progression and severity of the condition.

E. Recall ability: Evaluating the client's ability to recall recent events, information, or instructions assesses short-term memory function, which is often impaired in dementia. Tasks such as asking the client to repeat a series of words or recall recent activities help in assessing recall ability and memory impairment associated with dementia.

A. Unaware of compulsions: Clients with obsessive-compulsive disorder (OCD) are usually aware of their compulsions, which are repetitive behaviors or mental acts performed in response to obsessions. Compulsions are typically recognized by the individual as excessive or unreasonable, although they feel driven to perform them.

B. Irrational fear of certain objects: While individuals with OCD may experience irrational fears or obsessions, these are not exclusive to the disorder. Phobias, generalized anxiety disorder, and other conditions can also involve irrational fears of specific objects or situations. OCD is characterized more by intrusive thoughts (obsessions) and repetitive behaviors (compulsions) rather than specific fears.

C. Perfectionist behavior: Perfectionism is a common characteristic of OCD. Individuals with OCD often feel a strong need for things to be perfect or "just right." They may spend excessive amounts of time on tasks to ensure perfection or may be overly concerned with order, symmetry, or cleanliness.

D. Difficulty relaxing: Individuals with OCD often experience significant anxiety related to their obsessions and compulsions. This can make it difficult for them to relax or feel at ease, as their symptoms may constantly occupy their thoughts and compel them to engage in repetitive behaviors.

E. Rule conscious behavior: People with OCD often exhibit rule-bound or rule-conscious behavior. They may adhere rigidly to specific routines, rituals, or rules in an attempt to alleviate anxiety or prevent perceived negative consequences associated with their obsessions. This behavior can manifest as strict adherence to self-imposed rules or rituals, even when these behaviors are not logically connected to the obsession.