An individual diagnosed with obsessive-compulsive personality ...

[Deast7027]

An individual diagnosed with obsessive-compulsive personality disorder (OCPD) is hospitalized with newly diagnosed congestive heart failure. The most therapeutic approach for the nurse to use would be to:
 
  a. matter-of-factly enforce all hospital rules and activity schedules to provide an experience similar in nature to the client's usual routine
  b. wait a set period of time before responding to any nonurgent requests or needs, to consistently increase ability to delay gratification
  c. have several different staff members interact with the client as frequently as possible to desensitize the client's social anxiety stress responses
  d. consistently follow a specific time schedule of nursing care activities that incorporates the client's personality traits whenever possible

Question 2

A patient has significant non-goaldirected motor activity, seems terror stricken, and experiences both distorted perceptions and disordered thoughts. When the nurse attempts to calm the patient, the patient does not respond.
 
  The level of patient anxiety can be assessed as: a. mild.
  b. moderate.
  c. severe.
  d. panic.

[yuyiding]

Answer to Question 1

D
The nurse should consistently follow a specific time schedule that incorporates the client's personality traits whenever possible. In some cases, the clients OCPD can be used as an asset in the treatment processes. Individuals with OCPD crave control. The nurse should give as much control as is safe for the client and avoid getting into power struggles with the client.

Answer to Question 2

D
Panic-level anxiety is associated with awe, dread, and terror. The person is disorganized, is unable to relate to others, and experiences distorted perceptions and loss of rational thought. The person is unable to do things even with direction.