A 25-year-old college student reports that when she must take an exam, she experiences inability to problem solve, urinary frequency, rapid heartbeat, and respirations. The nurse suspects that she experiences:
Schizophrenia.
Severe anxiety attacks.
Moderate anxiety.
Attention-seeking behavior.
The Correct Answer is C
Choice A reason: Schizophrenia involves psychotic symptoms such as hallucinations and delusions, not exam-related anxiety.
Choice B reason: Severe anxiety attacks would cause inability to function, extreme fear, and possible panic symptoms. The client’s symptoms are consistent with moderate anxiety.
Choice C reason: Moderate anxiety causes physical symptoms such as tachycardia, urinary frequency, and impaired problem-solving. The client remains functional but with difficulty.
Choice D reason: Attention-seeking behavior is not supported by the clinical description. The symptoms are genuine manifestations of anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Saying nothing will help reflects hopelessness and lack of insight, showing ineffective teaching.
Choice B reason: Believing symptoms can be controlled by effort reflects misunderstanding. Somatic symptoms are not under voluntary control.
Choice C reason: Thinking the doctor believes symptoms are faked reflects poor understanding and perpetuates stigma.
Choice D reason: Recognizing that managing stress improves symptoms demonstrates insight and effective teaching. Stress exacerbates somatic symptoms, so handling stress is key to improvement.
Correct Answer is A
Explanation
Choice A reason: La belle indifference refers to a paradoxical lack of concern about significant symptoms, often seen in conversion disorder. The graduate’s calm acceptance of sudden blindness reflects this phenomenon, where the emotional response is disproportionately unconcerned compared to the severity of the symptom.
Choice B reason: Malingering involves intentional production of symptoms for external gain, such as avoiding responsibilities or obtaining benefits. In this case, there is no evidence of intentional deception or external motivation, making this option incorrect.
Choice C reason: Undoing is a defense mechanism where a person attempts to reverse or negate unacceptable thoughts or behaviors. It does not apply here, as the graduate is not attempting to counteract or "undo" anything but is instead indifferent to the symptom.
Choice D reason: Regression involves reverting to earlier developmental behaviors when faced with stress. The graduate’s response does not demonstrate childlike or regressive behavior but rather indifference, making this option inaccurate.
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