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
Explanation
Choice A reason: This client presents with negative symptoms of schizophrenia, which are often associated with a poorer prognosis. Negative symptoms like alogia and anhedonia indicate a diminished emotional response and lack of motivation, which can severely impact the client's ability to function and respond to treatment.
Choice B reason: Having a first cousin with bipolar I disorder may suggest a genetic predisposition to mood disorders but does not directly influence the prognosis of a client already diagnosed with schizophrenia.
Choice C reason: While an exacerbation of hallucinations and delusions indicates a worsening of symptoms, it is the positive symptoms of schizophrenia that are often more responsive to treatment. Therefore, this client may not necessarily have the worst outcomes.
Choice D reason: An older adult with a late onset of schizophrenia typically has a better prognosis than those with an earlier onset. Late-onset schizophrenia is often less severe and may respond better to treatment.
Correct Answer is A
Explanation
Choice A reason: Weight gain is indeed a known side effect of lithium treatment, and acknowledging this can validate the client's experience.
Choice B reason: This response could be perceived as blaming and does not acknowledge that weight gain can be a side effect of lithium.
Choice C reason: This statement is misleading as weight gain can occur beyond the first month of treatment with lithium.
Choice D reason: This statement is incorrect as weight loss is not the typical pattern associated with lithium; weight gain is more common.
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