Which symptoms should a nurse recognize that differentiate a client diagnosed with obsessive-compulsive disorder (OCD) from a client diagnosed with obsessive-compulsive personality disorder?
1. Clients diagnosed with OCD experience both obsessions and compulsions, and clients diagnosed with obsessive-compulsive personality disorder do not.
2. Clients diagnosed with obsessive-compulsive personality disorder experience both obsessions and compulsions, and clients diagnosed with OCD do not.
3. Clients diagnosed with obsessive-compulsive personality disorder experience only obsessions, and clients diagnosed with OCD experience only compulsions.
4. Clients diagnosed with OCD experience only obsessions, and clients diagnosed with obsessive-compulsive personality disorder experience only compulsions.
1
Rationale: A client diagnosed with OCD experiences both obsessions and compulsions. Clients with obsessive-compulsive personality disorder exhibit a pervasive pattern of preoccupation with orderliness, perfectionism, mental and interpersonal control, but do not experience obsessions and compulsions.
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When working with an older adult client, the nurse would be especially alert to the fact that this client is likely:
1. To sense pain more quickly than younger clients do. 2. Not to show signs and symptoms of infection as early as younger clients do. 3. To have a larger percentage of body fluids compared with young adults. 4. To have increased production of erythrocytes.
Which of the following insulins has the fastest onset of action?
A. Regular insulin B. NPH insulin C. Lente insulin D. Insulin lispro
The case method of care delivery is used on the surgical unit. The LPN/LVN asks what this means regarding work assignments. The best answer would be
a. "You will be assigned to provide care for two or three relatively stable patients with predictable care outcomes." b. "You will be assigned to perform specific nursing tasks for a number of patients, such as taking vital signs, doing simple dressings, and so on." c. "You will be assigned to provide daily total care for several patients from admission to discharge." d. "You will receive cross-training to be assigned as unit secretary, venipuncturist, or to nursing duties."
Which best describes a nurse's use of assertive behavior?
A) When a nurse attempts to please others and apologizes for her awkwardness in her new role B) When a nurse becomes defensive and angry when a nurse manager offers suggestions for improvement C) When a nurse has some problems making decisions and has a tendency to procrastinate D) When a nurse is open and direct with the nurse manager when asked to complete assignments