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NCLEX-RN · Question #460

NCLEX-RN Question #460: Real Exam Question with Answer & Explanation

The correct answer is D. Contracting with him for the amount of time he will spend on the compulsive behaviors. (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 avoiddiscussing them. (C) This answer is incorrect. The compulsive clie

Question

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:

Options

  • AEncouraging him to engage in recreational activities
  • BAvoiding discussion of his annoying behavior
  • CEncouraging the client to set a time schedule and deadlines for himself
  • DContracting with him for the amount of time he will spend on the compulsive behaviors

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 avoiddiscussing them. (C) This answer is incorrect. The compulsive client tends to control time to excess. It should not (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

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