Author Question: A teacher comes to the mental health clinic saying a co-worker recently confronted her about ... (Read 42 times)

RYAN BANYAN · **on:** Jul 19, 2018

A teacher comes to the mental health clinic saying a co-worker recently confronted her about
behaviors that are annoying to other co-workers. Because of the confrontation, the client has
experienced moderate to severe levels of anxiety.

The co-worker told the client that others find her
very difficult because she is a perfectionist and micromanages the tasks of others on the teaching
team, always demanding that things should be done according to her plans. The co-worker
mentioned that the client made everyone feel as though everything they tried was inadequate, and
that her co-workers feel frustrated and angry about her need to control. The client states she likes her
co-workers and only wanted to help them be successful. The nurse realizes the client's behaviors are
most consistent with
a. obsessive-compulsive personality disorder.
b. narcissistic personality disorder.
c. histrionic personality disorder.
d. schizoid personality disorder.

Question 2

A client being treated in an alcohol rehabilitation unit reveals to the nurse that he feels terrible
guilt for sexually abusing his 6-year-old stepdaughter before his admission.

On the basis of state
and federal laws, the best action for the nurse to take is to
a. anonymously report the abuse through a phone call to the local child abuse
hotline.
b. respect nurse-client relationship confidentiality.
c. file a written report on agency letterhead.
d. report the finding to the district attorney.

allisonblackmore · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
The need to control at the expense of flexibility and openness, along with patterns of preoccupation
with orderliness and perfectionism, is consistent with obsessive-compulsive personality disorder.
Option B: Narcissistic personality disorder involves grandiosity, the need for admiration, and lack of
empathy. Option C: Histrionic personality disorder involves excessive emotionality and attention
seeking. Option D: Schizoid personality disorder involves detachment from social relationships and
a restricted range of expression in interpersonal settings.

Answer to Question 2

ANS: A
Laws regarding child abuse reporting discovered by a professional during the suspected abuser's
alcohol or drug treatment differ by state. Federal law supercedes state law and prohibits disclosure
without a court order except in instances in which the report can be made anonymously or without
identifying the abuser as a client in an alcohol or drug treatment facility. Option A meets federal
criteria. Option B does not accomplish reporting. Options C and D violate federal law.