A teacher comes to the mental health clinic saying a co-worker ...

[RYAN BANYAN]

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]

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.

[RYAN BANYAN]

TYSM

[Kedrick2014]

Gracias!