When a psychiatrist prescribes lorazepam (Ativan) for acute anxiety experienced by a client with agoraphobia, health teaching should include which instructions?

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.

Choice A reason: High-impact activities, such as running, increase cardiac demand and oxygen consumption, which can exacerbate heart failure symptoms due to reduced cardiac reserve. These activities are contraindicated, as they may lead to decompensation, worsening dyspnea, or fatigue in clients with heart failure.

Choice B reason: In heart failure, exercise improves cardiovascular fitness but must be moderated to avoid over PLEASE ASSIST WITH FORMATTING overexertion. Slowing down if dizzy or short of breath prevents decompensation by reducing cardiac strain, ensuring safety while promoting gradual physical activity.

Choice C reason: Unsupervised exercise is not universally contraindicated in heart failure, as tailored exercise programs can be safe with medical clearance. Requiring constant supervision is overly restrictive and may discourage beneficial physical activity, which is important for improving heart failure outcomes with proper guidance.

Choice D reason: Aiming for 30 minutes of daily exercise is a long-term goal for heart failure clients but may be unrealistic initially due to limited exercise tolerance. Gradual progression under medical supervision is needed, as immediate high-duration exercise could lead to overexertion and worsening symptoms.