A client has obsessivecompulsive disease, which has seriously ...

[eruditmonkey@yahoo.com]

A client has obsessivecompulsive disease, which has seriously interfered with his ability to work. To help the client, the nurse must understand that a compulsion is what?
 
  A) A feeling of unreality or strangeness concerning oneself, the environment, or both
  B) An insistent thought recognized as arising from the self but not controllable by the person
  C) A repetitive intrusive and unwanted urge to perform or performance of an act contrary to one's usual standards
  D) A fixed false belief not true to fact and not ordinarily accepted by other members of the person's culture

Question 2

While talking with a schizophrenic client, the nurse observes that he is looking straight ahead, maintains no eye contact, and moves his facial muscles very little,
 
  even though he is telling her about a very emotional episode he just experienced with his roommate. When describing the client's affect, the nurse documents it as what?
 
  A) Labile
  B) Constricted
  C) Flat
  D) Blunted

[srodz]

Answer to Question 1

Ans: C
A compulsion is an urge to perform a behavior or the actual performance of the behavior (such as washing the hands), while an obsession is an intrusive thought that recurs, even when unwanted. Depersonalization is a feeling of unreality or strangeness, concerning self, environment, or both. Obsessions are insistent thoughts, recognized as arising from the self, which cannot be controlled. Delusions encompass fixed false beliefs not true and not ordinarily accepted by other members of the person's culture.

Answer to Question 2

Ans: C
The client's affect, or facial expression, would be described as flat. Labile affect is the abnormal fluctuation or variability of one's expressions, such as repeated, rapid, or abrupt shifts. Constricted affect relates to a reduction in one's expressive range and intensity of affective responses. Blunted affect is a severe reduction or limitation in the intensity of one's affective responses to a situation.

[eruditmonkey@yahoo.com]

Correct answers!

[srodz]

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