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 ["A","B","E"]

Explanation

Choice A rationale:

Encouraging the client to challenge negative thoughts is an effective cognitive-behavioral approach. It helps the client reframe their thinking patterns and build healthier self-esteem.

Choice B rationale:

Providing a list of alternative compulsions supports the client in finding healthier ways to cope with their anxiety. This can lead to a sense of accomplishment and improved self-esteem.

Choice C rationale:

Suggesting complete avoidance of anxiety triggers might seem helpful, but in the context of OCD, avoidance can reinforce the obsessions and compulsions. Gradual exposure and response prevention are evidence-based strategies.

Choice D rationale:

Assigning more exposure therapy sessions should be based on the client's progress and therapist's assessment. Increasing sessions solely for the sake of it might not be effective and could lead to frustration.

Choice E rationale:

Acknowledging the client's efforts in therapy fosters a positive therapeutic relationship and boosts their self-esteem. Recognizing progress and hard work encourages continued engagement in treatment.

A. The client's obsessions and compulsions are consistent with their self-image. B. The client engages in compulsions to achieve pleasurable outcomes. C. The client's obsessions and compulsions are not causing significant distress. D. The client recognizes that their obsessions and compulsions are irrational.

Correct Answer is D

Explanation

Choice A rationale:

The observation that the client's obsessions and compulsions are consistent with their self-image would not necessarily support the diagnosis of OCD. This could be applicable to other mental disorders as well, where the symptoms align with the individual's self-concept.

Choice B rationale:

If the client engages in compulsions to achieve pleasurable outcomes, this might suggest a different perspective. OCD compulsions are typically performed to alleviate distress or prevent a feared event, not for achieving pleasure.

Choice C rationale:

If the client's obsessions and compulsions are not causing significant distress, this could point towards other disorders or even potentially normal behavior. OCD is characterized by the distress caused by the obsessions and the urge to perform compulsions to alleviate this distress.

Choice D rationale:

The correct answer. In OCD, individuals are aware that their obsessions and compulsions are irrational and excessive. This self-awareness differentiates OCD from other disorders where the beliefs and behaviors might be seen as reasonable by the individual.

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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

(Select all that apply). A client with OCD is experiencing impaired self-esteem due to their obsessions and compulsions. Which actions should the nurse take to promote the client's self-esteem?

Correct Answer is ["A","B","E"]

Explanation

A client is being evaluated for potential OCD. The nurse explains the differential diagnosis process. Which observation supports the diagnosis of OCD rather than another mental disorder?

Correct Answer is D

Explanation

A nurse is assessing a client with obsessive-compulsive disorder (OCD) The client reports that they have been having recurrent thoughts about contamination. Which of the following is the most appropriate nursing diagnosis for this client?

A nurse is educating a group of nursing students about the differential diagnosis of obsessive-compulsive disorders (OCDs) in comparison to other mental disorders. Which factor helps differentiate OCDs from other mental disorders?

(Select all that apply):. A nurse is caring for a client with an eating disorder. What responsibilities should the nurse collaborate on with the multidisciplinary team? (Choose three.)

A nurse is teaching a group of nursing students about the pathophysiology of obsessive-compulsive disorders (OCDs) Which brain circuit is thought to be involved in OCDs, and what are its main components responsible for regulating cognitive processes?

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

A nurse is assessing a client who has been diagnosed with obsessive-compulsive disorder (OCD) Which statement by the client indicates an obsession?

A client with OCD is undergoing cognitive-behavioral therapy (CBT) The client asks the nurse, "How does exposure and response prevention work in treating OCD?" Which response by the nurse accurately explains this aspect of CBT?

(Select All That Apply):. A nurse is teaching a group of patients about pharmacological interventions for OCDs. Which medications are commonly used to treat OCDs? Select all that apply.