A home health nurse is caring for a new client who has hoarding disorder that involves food. Which of the following actions should the nurse take first?
Encourage the client to verbalize their feelings about hoarding.
Refer the client to a support group for hoarding disorder.
Discuss the health risks associated with hoarding of food.
Assist the client with completing the Hoarding Scale Self-Report.
The Correct Answer is A
Choice A reason: Encouraging the client to verbalize their feelings about hoarding is the first step because it establishes rapport and allows the nurse to understand the client’s perspective. Hoarding disorder is often associated with deep emotional distress, anxiety, and fear of loss. By exploring feelings first, the nurse builds trust and creates a foundation for further interventions. This therapeutic communication is essential before moving into education or referrals.
Choice B reason: Referring the client to a support group is beneficial but should not be the first action. Without first establishing trust and understanding the client’s feelings, the client may resist external interventions. Support groups are effective later in the care plan once the client is ready to engage with others.
Choice C reason: Discussing health risks is important but should follow after the nurse has explored the client’s feelings. Starting with risks may feel confrontational or judgmental, which could increase resistance. The nurse must first understand the client’s emotional attachment to hoarding before addressing risks.
Choice D reason: Completing the Hoarding Scale Self-Report is a useful assessment tool, but it is not the first action. The client may not be ready to engage in structured assessments until rapport and trust are established.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Fresh salmon is safe to consume while taking tranylcypromine. It does not contain high levels of tyramine, which is the substance that interacts dangerously with monoamine oxidase inhibitors (MAOIs) like tranylcypromine.
Choice B reason: Aged cheese is the correct answer because it contains high levels of tyramine. When combined with MAOIs, tyramine can precipitate a hypertensive crisis, which is life-threatening. This is why aged cheese and other tyramine-rich foods must be strictly avoided.
Choice C reason: Smoked meats also contain tyramine, but aged cheese is the most classic and well-documented food to avoid. Smoked meats are risky, but the priority teaching point is aged cheese.
Choice D reason: Red wine contains tyramine and can also interact with MAOIs, but again, aged cheese is the most direct and classic food to highlight in teaching.
Correct Answer is C
Explanation
Choice A reason: Selective inattention occurs in moderate anxiety, where the client begins to block out or ignore certain stimuli due to difficulty focusing. It is not characteristic of mild anxiety, where awareness is still intact.
Choice B reason: Urinary frequency is a physical manifestation of severe anxiety due to autonomic nervous system activation. It is not expected in mild anxiety.
Choice C reason: Sharpened perceptions are characteristic of mild anxiety. The client is more alert, attentive, and able to focus better on the environment. Mild anxiety can enhance problem-solving and concentration.
Choice D reason: Voice tremors are associated with moderate to severe anxiety, where physiological symptoms become more pronounced. They are not typical of mild anxiety.
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