A nurse is caring for a client diagnosed with hoarding disorder. Which description accurately characterizes hoarding behavior?

Discarding possessions easily, regardless of their value.

Accumulating possessions without any emotional attachment.

Needing to save items and experiencing distress when discarding them.

Organizing possessions meticulously to maintain a clutter-free environment.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Discarding possessions easily, regardless of their value, is not characteristic of hoarding disorder. Hoarding disorder involves the persistent difficulty in parting with possessions, even if they have little value, due to the emotional attachment individuals feel toward these items.

Choice B rationale:

Accumulating possessions without any emotional attachment is not indicative of hoarding disorder. In hoarding disorder, emotional attachment to possessions is a hallmark feature, and individuals often experience distress at the thought of discarding items.

Choice C rationale:

This is the correct choice. Hoarding disorder is characterized by the strong need to save items, regardless of their practical value, and the significant distress experienced when attempting to discard them. This behavior leads to the accumulation of possessions and can result in living spaces becoming cluttered and uninhabitable.

Choice D rationale:

Organizing possessions meticulously to maintain a clutter-free environment is not consistent with hoarding disorder. People with hoarding disorder struggle with organization and often have difficulty maintaining clutter-free spaces due to the accumulation of possessions.

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Correct Answer is C

Explanation

Choice A rationale:

Encouraging suppression of the urge to pull hair might worsen the client's anxiety and tension associated with trichotillomania. This approach may not address the underlying issues and could lead to increased distress.

Choice B rationale:

Camouflaging hair loss can be a practical approach, but it does not address the compulsive behavior itself. It focuses on hiding the consequences of the disorder rather than addressing the core issue.

Choice C rationale:

Assisting the client in finding replacement behaviors is the most appropriate intervention. This approach helps redirect the urge to pull hair into healthier alternatives, helping the client manage the compulsive behavior in a constructive manner.

Choice D rationale:

Avoiding mirrors might be counterproductive. For some individuals with trichotillomania, avoiding mirrors might increase anxiety and preoccupation, as they may feel disconnected from their appearance. It's important to address the underlying behavior rather than avoiding triggers.

A. Family history of OCD. B. History of childhood trauma. C. Head injury. D. Brain tumor.

Correct Answer is A

Explanation

Choice A rationale:

Family history of OCD is a significant risk factor for developing the disorder. Genetic predisposition plays a role in the etiology of OCD, with a higher likelihood of the disorder occurring in individuals who have close relatives (e.g., parents or siblings) with the condition. While environmental factors and life experiences can contribute to OCD, they are not as directly linked as the genetic component.

Choice B rationale:

History of childhood trauma can contribute to the development of various mental health disorders, including anxiety and OCD. However, the strongest association with OCD is the genetic component. While childhood trauma can exacerbate symptoms in individuals who are genetically predisposed, it is not the most likely finding in the medical record of a client with OCD.

Choice C rationale:

Head injury can lead to neurological and psychological changes, potentially contributing to various psychiatric conditions. However, the primary cause of OCD is not head injury. It is important to consider the presence of other factors, especially the genetic predisposition, when attributing OCD to a particular cause.

Choice D rationale:

Brain tumor is an organic condition that can cause neurological and psychological symptoms. However, brain tumors are not a common or primary cause of OCD. The focus in the etiology of OCD is on neurotransmitter imbalances, genetic factors, and brain circuitry, rather than structural brain abnormalities like tumors.

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A nurse is caring for a client diagnosed with hoarding disorder. Which description accurately characterizes hoarding behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client with trichotillomania (hair-pulling disorder) What intervention would be most appropriate to include in the client's care plan?

Correct Answer is C

Explanation

A nurse is reviewing the medical record of a client with OCD. Which of the following findings is most likely to be present in the client's record?

Correct Answer is A

Explanation

A nurse is providing care for a client with obsessive-compulsive disorder (OCD) Which statement by the nurse would be most appropriate in this situation?

A client with OCD expresses concerns about their medication. Which statement by the client indicates a need for further education?

(Select all that apply):. A nurse is caring for a client with an eating disorder. What responsibilities should the nurse collaborate on with the multidisciplinary team? (Choose three.)

A nurse is educating a group of nursing students about the differential diagnosis of obsessive-compulsive disorders (OCDs) in comparison to other mental disorders. Which factor helps differentiate OCDs from other mental disorders?

A nurse is educating a client who has been diagnosed with various types of obsessive-compulsive disorders (OCDs) Select all the themes that can categorize obsessions and compulsions in individuals with OCD.

A nurse is assessing a patient with obsessive-compulsive disorder (OCD) using the Nursing Outcomes Classification (NOC) Which of the following outcomes would the nurse expect to find in the NOC for patients with OCD?

A client with OCD is concerned about the potential side effects of medication. The nurse explains that the choice of medication depends on several factors. Which factor is likely to influence the choice of medication for treating OCD?

A nurse is caring for a client with OCD who is receiving cognitive-behavioral therapy (CBT) Which of the following interventions is the nurse most likely to use?