Home » NCLEX » NCLEX-RN » A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder.
A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include:
A. Encouraging him to engage in recreational activities
B. Avoiding discussion of his annoying behavior
C. Encouraging the client to set a time schedule and deadlines for himself
D. Contracting with him for the amount of time he will spend on the compulsive behaviors
Correct Answer: D
Explanation/Reference:
Explanation:
(A) This answer is incorrect. The client will work hard at the activity instead of enjoying it. (B) This answer is incorrect. The nurse should allow the client to discuss these thoughts, within limits, not to avoid discussing them. (C) This answer is incorrect. The compulsive client tends to control time to excess. It should not be encouraged. (D) This answer is correct. A contract with the client regarding the amount of time that will be spent discussing the compulsive activities is appropriate. Time allotted should be gradually decreased.
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