An older adult client is brought into the behavioral health outpatient clinic by a family member. The family member is concerned that the client is hoarding again. Which information obtained by the family member is of most concern to the nurse that correlates with the suspicion? (Select all that apply.)

A large number of cats living in the home.

When trying to remove items, the client becomes angry and upset.

Unable to enter into the rooms due to clutter piled up.

The client is obsessively cleaning the same areas repeatedly.

The client is throwing away items in the home that are deemed "unnecessary."

Answer and Explanation

Correct Answer : B,C

Choice A reason: While having a large number of pets can be a sign of hoarding, it is not necessarily a concern unless it negatively impacts the living conditions.

Choice B reason: Becoming angry and upset when attempting to remove items is a common reaction in individuals who hoard, indicating an emotional attachment to possessions.

Choice C reason: Inability to enter rooms due to clutter is a clear sign of hoarding, as it indicates that the accumulation of items has significantly interfered with the intended use of living spaces.

Choice D reason: Obsessive cleaning of the same areas may indicate a different issue, such as obsessive-compulsive disorder, rather than hoarding.

Choice E reason: Throwing away items deemed "unnecessary" is not typically associated with hoarding behavior, as hoarding involves difficulty parting with items.

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

Explanation

Choice A reason: Drinking alcohol to excess is a behavior that can be influenced by growing up in a home with alcoholic parents, as it may become a learned coping mechanism.

Choice B reason: Hanging on to bad relationships due to fear of being alone can be a behavior stemming from the instability and insecurity experienced in a home with alcoholic parents.

Choice C reason: Returning to college to complete a degree does not directly correlate with the influence of growing up in a home with alcoholic parents and is more indicative of personal ambition and goals.

Choice D reason: Having multiple divorces with tumultuous relationships could be related to the dysfunctional relationship dynamics observed in a home with alcoholic parents.

Choice E reason: Forming several trusting relationships with friends does not necessarily correlate with growing up in a home with alcoholic parents and is generally a positive social behavior.

A. Schizotypal B. Avoidant C. Narcissistic D. Antisocial E. Paranoid

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

Explanation

Choice A reason: A matter-of-fact approach is effective for clients with schizotypal personality disorder as it helps in dealing with their eccentric behaviors and distorted thinking without reinforcing their odd beliefs.

Choice B reason: Clients with avoidant personality disorder may benefit more from a supportive and encouraging approach due to their sensitivity to rejection and feelings of inadequacy.

Choice C reason: For narcissistic personality disorder, a matter-of-fact approach might not be as effective because these clients often require admiration and may not respond well to a straightforward style.

Choice D reason: An antisocial personality disorder client may respond better to a matter-of-fact approach as it sets clear boundaries and expectations without emotional engagement, which they may exploit.

Choice E reason: Paranoid personality disorder clients may find a matter-of-fact approach beneficial as it provides clear and direct communication, which can help reduce their suspicions.

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Naxlex Comprehensive Predictor Exams

The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.

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

Explanation

The nurse is planning an approach that will be most effective in developing a therapeutic relationship with a client. Which disorder(s) will the nurse best employ a matter-of-fact approach with the client? (Select all that apply.)

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

Explanation

The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?

The nurse observes a lack of hair on the eyebrows and hairline of a young adolescent. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

The nurse is educating a client and family about strategies to minimize the side effects of antipsychotic drugs. Which will be included in the plan? Select all that apply.

The nurse is creating a plan of care for a client with somatic symptom disorder. Which long-term treatment outcomes for this client will be most achievable and measurable? (Select all that apply.)

A nurse is performing a psychosocial assessment on an adolescent client. Which of the following should indicate to the nurse a potential risk for suicide? Select all that apply.

A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply.)

Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.