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","D"]
Explanation
Choice A reason: Lack of interest is a negative symptom of schizophrenia, characterized by a diminished ability to initiate and sustain planned activities.
Choice B reason: Hyperactivity is not typically considered a negative symptom of schizophrenia.
Choice C reason: Delusions are considered positive symptoms, not negative symptoms of schizophrenia.
Choice D reason: Neglect of personal hygiene is a negative symptom, reflecting a decrease in the ability to manage personal self-care.
Choice E reason: Irrational actions are more aligned with positive symptoms due to their active nature.
Correct Answer is B
Explanation
Choice A reason: Permanent mobility impairment is a possible complication, but it is not the most common concern immediately following a closed reduction and cast placement.
Choice B reason:Older adults are at a higher risk for delayed healing of fractures due to factors such as reduced bone density, slower cellular repair mechanisms, and potential comorbidities like diabetes or osteoporosis. While permanent mobility impairment, malalignment, and bone infections are possible complications of fractures, they are less common in routine cases of closed reduction and casting, especially if proper care and follow-up are provided. Delayed healing is a more likely complication due to age-related changes in bone health.
Choice C reason: Malalignment of healed bones is a potential long-term complication, but it is not the immediate concern post-cast placement.
Choice D reason: Bone infections (osteomyelitis) are rare following closed fractures treated with casting, especially when there is no open wound. Infections are more likely with open fractures or surgical interventions.
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