A nurse is caring for a client diagnosed with hoarding disorder. Which description accurately characterizes hoarding behavior?
Discarding possessions easily, regardless of their value.
Accumulating possessions without any emotional attachment.
Needing to save items and experiencing distress when discarding them.
Organizing possessions meticulously to maintain a clutter-free environment.
The Correct Answer is C
Choice A rationale:
Discarding possessions easily, regardless of their value, is not characteristic of hoarding disorder. Hoarding disorder involves the persistent difficulty in parting with possessions, even if they have little value, due to the emotional attachment individuals feel toward these items.
Choice B rationale:
Accumulating possessions without any emotional attachment is not indicative of hoarding disorder. In hoarding disorder, emotional attachment to possessions is a hallmark feature, and individuals often experience distress at the thought of discarding items.
Choice C rationale:
This is the correct choice. Hoarding disorder is characterized by the strong need to save items, regardless of their practical value, and the significant distress experienced when attempting to discard them. This behavior leads to the accumulation of possessions and can result in living spaces becoming cluttered and uninhabitable.
Choice D rationale:
Organizing possessions meticulously to maintain a clutter-free environment is not consistent with hoarding disorder. People with hoarding disorder struggle with organization and often have difficulty maintaining clutter-free spaces due to the accumulation of possessions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The statement that higher medication doses are needed to quickly suppress all obsessive thoughts and compulsive behaviors is not accurate. Medication dosages are adjusted based on individual response and tolerability, and the goal is not necessarily to use the highest dose possible.
Choice B rationale:
The correct answer. Starting with a low dose is a common practice in psychiatric medication management. This helps the body adjust to the medication gradually, reducing the likelihood and severity of side effects. As the body becomes accustomed to the medication, the dose can be gradually increased to achieve the desired therapeutic effect.
Choice C rationale:
The goal of achieving complete relief from obsessions and compulsions within a few days is an unrealistic expectation. Psychiatric medications typically require time to take effect, often several weeks, and complete relief might not occur for all individuals.
Choice D rationale:
Correct Answer is A
Explanation
Choice A rationale:
This choice accurately reflects one of the criteria for diagnosing OCD. The obsessions (intrusive and distressing thoughts) and compulsions (repetitive behaviors or mental acts) experienced by individuals with OCD are usually connected to what they are trying to neutralize or prevent. For instance, if someone has an obsessive fear of contamination, their compulsions might involve excessive hand washing to neutralize this fear.
Choice B rationale:
While perfectionism and high standards can be associated with OCD, they are not a primary diagnostic criterion. OCD is characterized by the presence of obsessions and compulsions that cause distress and significantly interfere with a person's daily life.
Choice C rationale:
This option is incorrect. The disturbance in OCD is not attributed to the physiological effects of substances or other medical conditions. It is a distinct mental health condition that is not solely a result of substance use or another medical issue.
Choice D rationale:
This option is incorrect. The symptoms of OCD should not be better explained by the symptoms of another mental disorder. While comorbidities can exist, OCD has its own unique set of obsessions and compulsions that differentiate it from other mental disorders.
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