A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)
A rational fear of certain objects.
Unaware of compulsions.
Rule-conscious behavior.
Difficulty relaxing.
Perfectionist behavior.
Correct Answer : C,D,E
Choice A reason: A rational fear of certain objects is not typically associated with OCD, which is characterized by irrational fears or obsessions.
Choice B reason: Clients with OCD are usually very aware of their compulsions, even if they cannot control them.
Choice C reason: Rule-conscious behavior is common in OCD, as individuals may create strict routines to manage their anxiety.
Choice D reason: Difficulty relaxing is a characteristic of OCD due to persistent intrusive thoughts and compulsive behaviors.
Choice E reason: Perfectionist behavior is often seen in OCD, where there is an excessive concern with orderliness and details.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Assessing the client's level of anxiety is crucial as it can inform the nurse about the severity of the OCD symptoms and guide further interventions.
Choice B reason: Interrupting compulsive behavior abruptly can cause significant distress to the client and is not recommended without proper behavioral therapy techniques.
Choice C reason: Negative reinforcement techniques are not typically used in OCD management as they can exacerbate anxiety and are not considered therapeutic.
Choice D reason: Encouraging avoidance of anxiety-increasing situations may reinforce OCD behaviors and is not a recommended approach. Exposure and response prevention, a type of cognitive-behavioral therapy, is often used instead.
Correct Answer is A
Explanation
Choice A reason: Patients with antisocial personality disorder often have difficulty adhering to societal norms and rules due to their disregard for the rights of others and lack of remorse for their actions.
Choice B reason: Listening to music is a leisure activity and does not typically involve compliance with rules or regulations, making it less likely to be difficult for the patient.
Choice C reason: Organizing a patient committee may involve cooperation and adherence to guidelines, which could be challenging but is not as fundamental as following hospital rules.
Choice D reason: Playing volleyball is a physical activity and, while it involves following game rules, it is not as comprehensive as abiding by hospital rules.
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