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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A) Encourage the client to spend time in the dayroom: While social interaction can be beneficial, a client experiencing mania may become overstimulated in a busy environment. This intervention may not be appropriate if it increases anxiety or agitation.

B) Place the client in seclusion when he exhibits signs of anxiety: Seclusion should be a last resort and is not an appropriate first-line intervention. Instead, the focus should be on therapeutic approaches that promote safety and reduce anxiety without resorting to restrictive measures.

C) Encourage the client to take frequent rest periods: This is a crucial intervention for a client experiencing mania, as it can help manage symptoms and prevent exhaustion. Encouraging rest periods allows the client to regain some control and reduces the risk of overwhelming stimulation.

D) Withdraw the client's TV privileges if he does not attend group therapy: Using punitive measures such as withdrawing privileges is not therapeutic and can exacerbate feelings of rejection or frustration. A supportive approach is more effective in encouraging participation in therapy rather than implementing consequences.

A. Monitor the child's cardiac status. B. Administer antibiotics via intermittent IV bolus for 24 hr. C. Give scheduled doses of acetaminophen every hr. D. Provide stimulation with children of the same age in the play room.

Correct Answer is A

Explanation

A) Monitoring the child's cardiac status is crucial in the acute phase of Kawasaki disease, as the disease can lead to complications such as myocarditis and coronary artery aneurysms. Regular assessment of heart rate, blood pressure, and any signs of heart failure is essential for early detection and intervention.

B) Antibiotics are not routinely administered for Kawasaki disease unless there is a concurrent bacterial infection. The primary treatment includes high-dose aspirin and intravenous immunoglobulin (IVIG) to reduce inflammation and prevent cardiac complications.

C) While acetaminophen can be used to manage fever and discomfort, giving it every hour is not appropriate. Scheduled doses should follow dosing guidelines to avoid toxicity and manage the child's symptoms effectively.

D) During the acute phase, children with Kawasaki disease may experience irritability and require rest. Providing stimulation with peers in the playroom may be inappropriate due to the need for reduced activity and rest, making this intervention less suitable.

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A nurse is assessing a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

A nurse is planning care for a preschool-age child who is in the acute phase of Kawasaki disease. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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