How can the nurse differentiate the client with obsessive-compulsive personality disorder from a client with perfectionist personality traits?
1. Clients with obsessive-compulsive personality disorder will exhibit order in all areas of their lives.
2. Clients with obsessive-compulsive personality disorder will exhibit fear, anxiety, and an excessive need for order.
3. Clients with obsessive-compulsive personality disorder will exhibit the need for perfection in everyone but themselves.
4. Clients with obsessive-compulsive personality disorder will exhibit order in their work lives but are able to relax when away from work.
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Rationale: The person with obsessive-compulsive personality disorder strives at all times to keep the world predictable and organized. These individuals suffer from fear and anxiety. Obsessive-compulsive individuals are excessively conscientious and rigid but can exhibit a contradictory pattern of slovenliness, which is also compulsive. They feel required to fulfill unending duties, responsibilities, and tasks, are self-critical, and adhere strictly and concretely to rules. Obsessive-compulsive individuals do not view taking work home and working long hours as an imposition, since work organizes their lives and binds their anxiety.
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