An older adult client is brought into the behavioral health outpatient clinic by a family member. The family member is concerned that the client is hoarding again. Which information obtained by the family member is of most concern to the nurse that correlates with the suspicion? (Select all that apply.)

A large number of cats living in the home.

When trying to remove items, the client becomes angry and upset.

Unable to enter into the rooms due to clutter piled up.

The client is obsessively cleaning the same areas repeatedly.

The client is throwing away items in the home that are deemed "unnecessary."

Answer and Explanation

Correct Answer : B,C

Choice A reason: While having a large number of pets can be a sign of hoarding, it is not necessarily a concern unless it negatively impacts the living conditions.

Choice B reason: Becoming angry and upset when attempting to remove items is a common reaction in individuals who hoard, indicating an emotional attachment to possessions.

Choice C reason: Inability to enter rooms due to clutter is a clear sign of hoarding, as it indicates that the accumulation of items has significantly interfered with the intended use of living spaces.

Choice D reason: Obsessive cleaning of the same areas may indicate a different issue, such as obsessive-compulsive disorder, rather than hoarding.

Choice E reason: Throwing away items deemed "unnecessary" is not typically associated with hoarding behavior, as hoarding involves difficulty parting with items.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Personality traits are enduring and can be resistant to change, making treatment challenging.

Choice B reason: This statement is not accurate; clients with personality disorders may not always be receptive to treatment.

Choice C reason: Slow progress and clients discontinuing treatment are common barriers in treating personality disorders.

Choice D reason: Clients may not recognize the need for change, which can hinder the therapeutic process.

Choice E reason: Clients may identify with their personality traits, even if they are maladaptive, and may resist changing them.

A. A client who is unable to provide basic needs when resources are available. B. A client who acts only in their own interests. C. A client who is gravely disabled. D. A client with a severe intellectual developmental disorder. E. A client who is nonadherent to their medication regimen.

Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: A client unable to provide for basic needs, despite having resources, may lack the capacity to make informed decisions, necessitating a proxy decision-maker.

Choice B reason: Acting in one's own interest does not necessarily indicate an inability to make informed decisions about care.

Choice C reason: A gravely disabled client may not be able to comprehend the nature of their condition or the consequences of medical decisions, thus requiring assistance.

Choice D reason: Clients with severe intellectual developmental disorders often require a legal guardian to make healthcare decisions on their behalf.

Choice E reason: Nonadherence to medication could be due to various factors, including lack of understanding of the treatment plan, indicating the need for a decision-maker.

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Naxlex Comprehensive Predictor Exams

The nurse is working with clients with personality disorders that are having problems with relationships and other parts of their life. Which barrier(s) is the nurse experiencing when working with this group of clients? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

In the inpatient behavioral health unit, which clients require someone to make decisions regarding their medical and psychiatric care in their best interest? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?

A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? Select all that apply.

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

A client is seeking relief for undiagnosed pain. There is no history of significant physical illness or injury. The history reveals that the client was laid off 4 months ago from a job. Which statement made by the client would most strongly suggest a somatoform disorder?

Which of the following explanations should the nurse include when teaching parents why it is difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.