A client was diagnosed with OCPD several years ago and visits the outpatient mental health clinic for medication evaluation. As the nurse updates her health record with new assessment data, she reviews the client's family history. The nurse knows that the client most likely grew up in which family environment? Select all that apply.

Question

Quizplus · Accepted Answer

1.This is correct. The individual with OCPD was reared in an overly controlled environment. These parents condemn their children if they do not live up to the imposed strict standards, and punishment for undesirable behaviors is frequent.
2.This is correct. Positive achievements in these families are expected, taken for granted, and only occasionally acknowledged by their parents, whose comments and judgments are limited to pointing out transgressions and infractions of rules. In this environment, individuals become experts in learning what they must not do to avoid punishment and condemnation rather than what they can do to achieve attention and praise.
3.This is correct. The individual with OCPD was reared in an overly controlled environment where they learn to heed rigid restrictions and rules.
4.This is incorrect. Clients with OCPD disorder most likely did not grow up in a home where achievements were rewarded. They grew up in a strict environment with high expectations, where achievement was expected and not seen as anything special.

A Client Was Diagnosed with OCPD Several Years Ago and Visits