A nurse is teaching a client who has a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching?

A. Irritability: While clients with obsessive-compulsive personality disorder (OCPD) may become frustrated when things are not done their way, persistent irritability is more characteristic of mood or anxiety disorders rather than a core feature of OCPD.
B. Impulsivity: Impulsivity is typically associated with borderline or antisocial personality disorders. Clients with OCPD are generally rigid, controlled, and rule-bound rather than impulsive.
C. Takes advantage of others: This behavior is more aligned with antisocial personality disorder. Clients with OCPD are often rule-abiding and conscientious, though they may be excessively controlling or critical.
D. Shows perfectionism: Perfectionism is a hallmark of obsessive-compulsive personality disorder. Clients often set excessively high standards for themselves and others, are preoccupied with orderliness, and may have difficulty delegating tasks.

A. "Season foods with salt and pepper.": Spicy and seasoned foods can irritate the gastric mucosa, potentially worsening gastritis symptoms, so this advice is not appropriate.
B. "Eat small frequent meals daily.": Smaller, more frequent meals help reduce gastric acid secretion and minimize irritation of the stomach lining, which can alleviate symptoms of gastritis and promote healing.
C. "Use ibuprofen as needed for discomfort.": Nonsteroidal anti-inflammatory drugs like ibuprofen can exacerbate gastritis by irritating the stomach lining and increasing the risk of bleeding, so they should be avoided.
D. "Take a Vitamin E supplement daily.": There is no clear evidence supporting the use of vitamin E supplements for gastritis management, and supplementation is not a standard recommendation in this condition.