Which response should the nurse identify as characteristic of clients diagnosed with OCPD?

Correct Answer: D

Rationale: The correct answer is D because individuals with Obsessive-Compulsive Personality Disorder (OCPD) typically exhibit rigidity, perfectionism, and a strong need for control. Option D reflects this by showcasing a resistance to changes and a desire for rules to govern decisions. Options A, B, and C do not align with OCPD characteristics as they involve avoiding responsibility, suspicions of hidden motives, and displaying entitlement respectively. Ultimately, choice D best captures the core traits associated with OCPD, making it the correct response.

Correct Answer: B

Rationale: The correct answer is B because it provides an empathetic and accurate response. It reassures the mother that her parenting did not cause autism, highlighting research on brain abnormalities as the primary factor. This response promotes understanding and reduces guilt. Option A is incorrect as it only mentions one potential factor (fetal alcohol syndrome) and does not address the broader causes of ASD. Option C is incorrect as it wrongly implies that the mother's role is greater than the father’s in causing ASD, which is not supported by research. Option D is incorrect as it wrongly suggests that lack of early bonding or breastfeeding might cause autism, which is not substantiated by scientific evidence.

Correct Answer: C

Rationale: The correct answer is C because holding the client's head steady and applying a helmet is the most appropriate intervention to prevent injury while addressing the head-banging behavior. Restraints (choice A) are not recommended as they can escalate aggression. Sedating the client (choice B) may have adverse effects. Distracting the client (choice D) does not address the safety concern directly.

Correct Answer: B

Rationale: The correct answer is B because verbal abuse poses an immediate risk to the safety and well-being of others. Addressing this behavior first is crucial to ensure a safe therapeutic environment. The other choices, A, C, and D, do not pose an immediate threat to others' safety. Client A's behavior, although inappropriate, is not directly harmful to others. Client C's demand for attention may be disruptive but does not present an immediate safety concern. Client D's history of self-mutilation is concerning but does not indicate an immediate risk to others on the unit. Prioritizing the client diagnosed with conduct disorder who is verbally abusing a peer addresses the most urgent situation.

Correct Answer: C

Rationale: In the context of the Behavioral Theory of Mental Health, understanding personality disorders is crucial. Option C, "Manifest enduring patterns of inflexible behaviors," is the correct answer because personality disorders are characterized by deeply ingrained patterns of behavior that are resistant to change. These patterns typically cause significant impairment in social and occupational functioning, making recovery challenging. Option A, "Recover with therapeutic intervention," is incorrect because personality disorders are considered to be chronic and enduring conditions. While therapy can help manage symptoms and improve functioning, complete recovery is rare. Option B, "Respond to antianxiety medication," is also incorrect as personality disorders are not typically treated primarily with medication, especially not just antianxiety medication. These disorders require long-term psychotherapy that focuses on changing behavior patterns. Option D, "Seek treatment willingly from some personally distressing symptoms," is incorrect because individuals with personality disorders often struggle to seek treatment due to the nature of the disorder, which includes difficulties in insight and forming therapeutic relationships. Educationally, it is important to highlight the chronic and ingrained nature of personality disorders to students. Understanding that these disorders require long-term, specialized psychotherapy can help future mental health professionals provide appropriate care and set realistic expectations for treatment outcomes.