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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason: Assessing strengths and weaknesses realistically helps the client to understand their capabilities and limitations post-withdrawal.
Choice B reason: Verbalizing plans to join a community support group indicates the client's commitment to ongoing recovery and support after discharge.
Choice C reason: Receiving only prescribed medications ensures the client does not relapse into drug use and maintains the treatment plan's integrity.
Choice D reason: Initiating interactions with others in the facility can help the client rebuild social skills and integrate into a community, which is beneficial for recovery.
Choice E reason: While sharing feelings is important, setting a specific timeframe such as 48 hours may not be realistic for every client and can vary based on individual readiness.
Correct Answer is ["A","D"]
Explanation
Choice A reason: Blunt affect is a negative symptom of schizophrenia, characterized by a significant reduction in the expression of emotions.
Choice B reason: Poor judgments are not specifically categorized as negative symptoms; they can be a result of cognitive deficits associated with schizophrenia.
Choice C reason: Delusions are considered positive symptoms of schizophrenia, involving false beliefs maintained despite evidence to the contrary.
Choice D reason: Anhedonia, the inability to experience pleasure, is a negative symptom of schizophrenia, reflecting a diminished interest or pleasure in all or almost all activities.
Choice E reason: Hallucinations are considered positive symptoms of schizophrenia, involving perceiving things that are not present.
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