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: 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.
Correct Answer is A
Explanation
Choice A reason: The 'thinking/content of thought' section of the Mental Health Status Examination assesses the logical process of thought, presence of delusions, obsessions, and preoccupations.
Choice B reason: 'Memory' assesses the person's ability to recall past events, which is not directly related to their current thought content.
Choice C reason: 'Judgment' evaluates the ability to make reasoned decisions, which, while important, is distinct from the content of thought.
Choice D reason: 'Speech and the ability to communicate' assesses the clarity, relevance, and coherence of speech, not the internal thought process.
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