A 56-year-old man presents to the PMHNP, stating he was sent by his wife. He explains he used to own a video rental store, and as a result, he has a large collection of VHS tapes. He continues to collect these "antiques" and does not see any problem with this because they are valuable. He admits he never watches them, because he can never decide which one to watch, and he doesn't have a lot of time. He has started running out of space to keep the tapes, and he admits many of them are probably ruined because they have been housed outside in a hot storage unit. Which diagnosis is most appropriate?
Obsessive-compulsive disorder (OCD)
Delusional disorder
Normal collecting behavior
Hoarding disorder
The Correct Answer is D
Choice A reason: OCD involves obsessions and compulsions that are distressing and recognized as excessive by the patient. While the patient collects tapes, he does not report intrusive obsessions or ritualized behaviors associated with anxiety reduction, so OCD is less likely.
Choice B reason: Delusional disorder involves fixed, false beliefs without insight. The patient does not demonstrate a fixed false belief about the nature of reality; he acknowledges the tapes may be ruined.
Choice C reason: Normal collecting behavior involves collecting items without causing significant distress or impairment. In this case, the patient’s hoarding is leading to functional impairment, such as lack of space and potential damage to items, so normal collecting does not fit.
Choice D reason: Hoarding disorder is characterized by persistent difficulty discarding possessions, resulting in clutter that disrupts living spaces or functioning. This patient exhibits classic signs: inability to discard items of limited utility, accumulation causing functional impairment, and distress/impairment recognized by family.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The Beck Anxiety Inventory is a self-report measure, not a clinician-administered scale.
Choice B reason: GAD-7 is also a self-report questionnaire, widely used for generalized anxiety disorder but not administered by clinicians.
Choice C reason: The Hamilton Anxiety Scale (HAM-A) is the most commonly used clinician-administered instrument for assessing anxiety severity, allowing monitoring of treatment progress over time.
Choice D reason: The Liebowitz Social Anxiety Scale assesses social anxiety, is clinician-administered, but is more specialized and less commonly used for general anxiety monitoring.
Correct Answer is C
Explanation
Choice A reason: This question targets somatic concerns and health anxiety, not generalized anxiety or worry about multiple domains.
Choice B reason: This question assesses depersonalization or derealization symptoms rather than anxiety.
Choice C reason: This is correct. Asking about persistent worry over several months directly targets generalized anxiety symptoms, helping identify excessive worry characteristic of anxiety disorders.
Choice D reason: This question is designed to assess manic or hypomanic episodes, as it evaluates periods of decreased need for sleep with elevated mood or energy, not anxiety.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.