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.

Answer and Explanation

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.

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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:

A. "SSRIs primarily target glutamate modulation in the brain.” B. "SSRIs work by increasing the availability of serotonin in the brain to reduce obsessions and compulsions.” C. "SSRIs are used to enhance positive emotional outcomes in individuals with OCD.” D. "SSRIs are reserved for individuals who have ego-syntonic obsessions and compulsions.”

Correct Answer is B

Explanation

Choice A rationale:

"SSRIs primarily target glutamate modulation in the brain." This statement is inaccurate. Selective serotonin reuptake inhibitors (SSRIs) primarily target the modulation of serotonin levels in the brain, not glutamate. These medications work by inhibiting the reuptake of serotonin, which increases the availability of serotonin in the synaptic cleft and helps regulate mood and anxiety.

Choice B rationale:

"SSRIs work by increasing the availability of serotonin in the brain to reduce obsessions and compulsions." This statement accurately describes the role of SSRIs in treating OCD. Serotonin is a neurotransmitter that plays a role in mood regulation, and imbalances in serotonin have been implicated in OCD. By increasing the availability of serotonin in the brain, SSRIs can help reduce the frequency and intensity of obsessions and compulsions.

Choice C rationale:

"SSRIs are used to enhance positive emotional outcomes in individuals with OCD." This statement is not accurate. While SSRIs can improve mood and reduce anxiety, their primary role in treating OCD is to alleviate the symptoms of obsessions and compulsions by affecting neurotransmitter levels. They are not specifically used to enhance positive emotional outcomes.

Choice D rationale:

"SSRIs are reserved for individuals who have ego-syntonic obsessions and compulsions." This statement is incorrect. Ego-syntonic obsessions and compulsions are those that are consistent with a person's self-image and beliefs, and individuals may not feel a strong need to resist or change them. SSRIs are used to treat both ego-dystonic (inconsistent with self-image) and ego-syntonic obsessions and compulsions in OCD, as these medications target the underlying neurochemical imbalances that contribute to the disorder's symptoms.

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A nurse is caring for a client diagnosed with hoarding disorder. Which description accurately characterizes hoarding behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of patients about treatment approaches for OCDs. Which statement accurately explains the rationale behind gradually increasing the dosage of medication during treatment?

Correct Answer is B

Explanation

A nurse is discussing pharmacological interventions for treating OCDs with a group of patients. Which statement accurately describes the role of selective serotonin reuptake inhibitors (SSRIs) in OCD treatment?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client with OCD. Which of the following findings is most likely to be present in the client's record?

A nurse is explaining the diagnostic criteria for obsessive-compulsive disorder (OCD) to a group of nursing students. Which of the following statements accurately reflects one of the criteria for diagnosing OCD?

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A nurse is assisting a patient with OCD in developing a hierarchy of feared stimuli for exposure therapy. Which statement by the nurse is appropriate during this process?

(Select all that apply) A nurse is collaborating with other healthcare professionals to provide comprehensive care for a patient with OCD. Which actions should the nurse take as part of this collaboration?

A client with OCD expresses concerns about their medication. Which statement by the client indicates a need for further education?

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