A nurse is visiting a client in the home setting after discharge from the hospital for treatment of multiple area skin infections and cellulitis. Which behavior does the nurse document as a dangerous sign that the client is hoarding?

Choice A reason: Weight gain is not a common side effect of buspirone, which affects serotonin and dopamine receptors to reduce anxiety. It is more associated with antidepressants like SSRIs or mirtazapine, which alter metabolism or appetite, making this incorrect.

Choice B reason: Buspirone commonly causes dizziness due to its effects on serotonin and dopamine pathways, which can alter blood pressure or central nervous system function. This side effect is significant, as it impacts safety and requires client awareness, making it a key teaching point.

Choice C reason: Dry skin is not a recognized side effect of buspirone. This medication primarily affects neurological and gastrointestinal systems, not dermatological conditions, making this an irrelevant and incorrect side effect to include in client education.

Choice D reason: Increased appetite is not typically associated with buspirone. While some psychotropic medications affect appetite, buspirone’s primary side effects include dizziness and nausea, not appetite changes, making this an incorrect focus for client education.

Choice A reason: An untidy house and yard may indicate poor organization or neglect but is not specific to hoarding. It could result from various factors, such as depression or physical limitations, and does not inherently pose a dangerous safety risk associated with hoarding behaviors.

Choice B reason: A single path through the yard and house indicates severe accumulation of items, characteristic of hoarding disorder. This creates significant safety hazards, such as fire risks, tripping hazards, or blocked exits, which can impede emergency access and pose immediate dangers to the client’s well-being.

Choice C reason: Neighbor complaints about cats may suggest pet hoarding, a subtype of hoarding disorder. However, without evidence of excessive clutter or unsafe living conditions, this alone is less indicative of dangerous hoarding compared to physical obstructions like a single path through the home.

Choice D reason: A collection of scattered magazines may suggest early hoarding tendencies but does not necessarily indicate a dangerous level of hoarding. It lacks the severity of safety risks, such as blocked pathways or fire hazards, associated with a single path through the home.