Author Question: The nurse assesses an adult who is socially withdrawn and hoards. Which nursing diagnoses most ... (Read 83 times)

mia

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The nurse assesses an adult who is socially withdrawn and hoards. Which nursing diagnoses most likely apply to this individual? Select all that apply.
 
  a. Ineffective home maintenance
  b. Situational low self-esteem
  c. Chronic low self-esteem
  d. Disturbed body image
  e. Risk for injury

Question 2

Which assessment questions would be most appropriate for the nurse to ask a patient with possible obsessive-compulsive disorder? Select all that apply.
 
  a. Are there certain social situations that cause you to feel especially uncomfortable?
  b. Are there others in your family who must do things in a certain way to feel comfortable?
  c. Have you been a victim of a crime or seen someone badly injured or killed?
  d. Is it difficult to keep certain thoughts out of your awareness?
  e. Do you do certain things over and over again?



kaillie

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Answer to Question 1

ANS: A, C, E
Shame regarding the appearance of one's home is associated with hoarding. The behavior is usually associated with chronic low self-esteem. Hoarding results in problems of home maintenance, which may precipitate injury. The self-concept may be affected, but not body image.

Answer to Question 2

ANS: B, D, E
The correct questions refer to obsessive thinking and compulsive behaviors. There is likely a genetic correlation to the disorder. The incorrect responses are more pertinent to a patient with suspected posttraumatic stress disorder or with suspected social phobia. See relationship to audience response question.



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