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 D

Explanation

Choice A reason: This statement suggests a misunderstanding of somatic symptom disorder. Avoiding stress entirely is not realistic or beneficial for overall health.

Choice B reason: This statement is incorrect because while stress can exacerbate pain, medication may still be helpful in managing symptoms of somatic symptom disorder.

Choice C reason: This statement does not recognize the chronic nature of somatic symptom disorder, where symptoms may not completely go away and management is ongoing.

Choice D reason: This statement shows an understanding that psychological factors can influence physical symptoms, which is key in managing somatic symptom disorder.

A. "It's common for clients who have postpartum depression to exhibit psychotic behavior." B. "The most common manifestation of postpartum depression is harming the infant." C. "Postpartum depression usually begins 48 hours after childbirth." D. "Postpartum depression is more likely to occur in women who have a history of depression."

Correct Answer is D

Explanation

Choice A reason: Psychotic behavior is not common in postpartum depression; it is more associated with postpartum psychosis, a rare and severe form of the condition.

Choice B reason: Harming the infant is not a common manifestation of postpartum depression and is a misconception.

Choice C reason: Postpartum depression does not typically begin 48 hours after childbirth; this is more indicative of the "baby blues," which are less severe and more transient.

Choice D reason: Women with a history of depression are at a higher risk for postpartum depression, making this statement accurate.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating the client about their diagnosis of somatic symptom disorder. Which statement by the client will indicate to the nurse that the education has been effective?

Correct Answer is D

Explanation

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

Correct Answer is 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.)

In the inpatient behavioral health unit, which clients require someone to make decisions regarding their medical and psychiatric care in their best interest? Select all that apply.

A patient presents with gastrointestinal (GI) symptoms. Which issue do these symptoms correlate with?

The nurse is working with another nurse in the emergency department (ED) when a client comes in stating they have been raped during a date. Which statement made by the other nurse privately requires immediate correction?

A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. Which elements will the nurse assess for when determining the major components of posttraumatic stress disorder (PTSD)? (Select all that apply.)

The nurse is providing a high-school prevention program for adolescents and parents about eating disorders. Which important preventative measures will the nurse educate the group regarding? (Select all that apply.)

A nurse is conducting a group session in the behavioral health unit for three clients on the topic of anxiety. The nurse determines that the session was successful based on which statement by the clients?

A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should the nurse expect a physician to order to address this type of symptom?