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","E","F","G"]
Explanation
Choice A reason: Support systems are crucial for emotional and practical support, especially when dealing with mental health issues.
Choice B reason: Physical health can significantly impact mental health, and vice versa; it's important to consider the client's overall well-being.
Choice C reason: Mental health support, such as therapy or support groups, is essential for someone struggling with the effectiveness of their medication.
Choice D reason: While alcohol consumption can affect mental health, it is not mentioned in the client's statement and therefore cannot be assumed.
Choice E reason: Feelings of self-worth are directly related to mental health and can influence the client's perspective on their value and the burden they perceive themselves to be to others.
Choice F reason: Family history can provide insight into potential hereditary patterns of mental health issues and the client's support network.
Choice G reason: Access to lethal means is a critical safety concern, especially for clients expressing feelings of worthlessness or experiencing severe depression.
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: A matter-of-fact approach is effective for clients with schizotypal personality disorder as it helps in dealing with their eccentric behaviors and distorted thinking without reinforcing their odd beliefs.
Choice B reason: Clients with avoidant personality disorder may benefit more from a supportive and encouraging approach due to their sensitivity to rejection and feelings of inadequacy.
Choice C reason: For narcissistic personality disorder, a matter-of-fact approach might not be as effective because these clients often require admiration and may not respond well to a straightforward style.
Choice D reason: An antisocial personality disorder client may respond better to a matter-of-fact approach as it sets clear boundaries and expectations without emotional engagement, which they may exploit.
Choice E reason: Paranoid personality disorder clients may find a matter-of-fact approach beneficial as it provides clear and direct communication, which can help reduce their suspicions.
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