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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Personality traits are enduring and can be resistant to change, making treatment challenging.
Choice B reason: This statement is not accurate; clients with personality disorders may not always be receptive to treatment.
Choice C reason: Slow progress and clients discontinuing treatment are common barriers in treating personality disorders.
Choice D reason: Clients may not recognize the need for change, which can hinder the therapeutic process.
Choice E reason: Clients may identify with their personality traits, even if they are maladaptive, and may resist changing them.
Correct Answer is A
Explanation
Choice A reason: Wernicke-Korsakoff syndrome is a brain and memory disorder that requires immediate treatment. It occurs due to a severe deficiency of thiamine (vitamin B1), which is essential for the brain to convert food into energy.
Choice B reason: There is no evidence suggesting that Wernicke-Korsakoff syndrome is a psychological condition related to stress.
Choice C reason: Wernicke-Korsakoff syndrome is not a genetic disorder; it is caused by a deficiency of vitamin B1, often associated with alcohol abuse or malnutrition.
Choice D reason: It is not an infectious disease; Wernicke-Korsakoff syndrome results from nutritional deficiencies, specifically a lack of thiamine (vitamin B1).
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