A client presents with symptoms of altered voluntary motor function that are incompatible with medical conditions. The client is distressed by these symptoms. Which statement is most likely to be said by the client?
"I'm not sure why this is happening to me.".
"I know I'm pretending to have these symptoms.".
"I'm worried I have a serious illness even though I have no clear signs.".
"I intentionally induced these symptoms for attention.".
The Correct Answer is A
Choice A rationale:
This statement reflects the uncertainty and confusion commonly experienced by individuals with conversion disorder. The symptoms in conversion disorder, such as altered voluntary motor function, are often inconsistent and not under the individual's conscious control.
Choice B rationale:
Knowing that one is pretending to have symptoms aligns with factitious disorder, where individuals intentionally feign or induce symptoms. This choice does not fit the description of the client in the scenario.
Choice C rationale:
This statement is more consistent with illness anxiety disorder, where the individual is excessively worried about having a serious illness despite minimal symptoms. It doesn't reflect the symptoms of altered voluntary motor function mentioned in the scenario.
Choice D rationale:
Intentionally inducing symptoms for attention is a characteristic of factitious disorder, not conversion disorder. This choice does not align with the involuntary nature of the symptoms described in the scenario.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"Factitious disorder.". Choice A is not the correct answer for this question. Factitious disorder involves intentionally producing or feigning physical or psychological symptoms in oneself to assume the sick role, but it's not primarily characterized by excessive responses to the symptoms. It is more about assuming the role of a patient for psychological reasons.
Choice B rationale:
"Somatic symptom disorder.". Choice B is the correct answer. Somatic symptom disorder is characterized by distressing physical symptoms that interfere with daily life. The individual's response to these symptoms is excessive, and they often become preoccupied with their health concerns. This condition differs from factitious disorder in that the symptoms are not intentionally produced for attention; they are genuinely experienced, but the distress and preoccupation become the central issue.
Choice C rationale:
"Conversion disorder.". Choice C is not the correct answer. Conversion disorder involves experiencing neurological-like symptoms, such as paralysis or blindness, that cannot be attributed to a medical condition. The symptoms often arise due to psychological stressors and are not intentionally produced or exaggerated for attention.
Choice D rationale:
"Illness anxiety disorder.". Choice D is not the correct answer. Illness anxiety disorder, formerly known as hypochondriasis, involves excessive worry about having a serious illness despite minimal or no medical evidence of such an illness. The focus is on the fear of having a disease, rather than the distressing physical symptoms described in the question.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale:
Regular exercise is essential for overall health and well-being. It can help alleviate stress, improve mood, and promote physical fitness. Encouraging the client to engage in regular exercise, based on their abilities, can contribute positively to their condition.
Choice B rationale:
Avoidance of any form of stress is an unrealistic goal and not a practical approach. Stress is a natural part of life, and teaching clients healthy coping mechanisms to manage stress is more effective than trying to eliminate it entirely.
Choice C rationale:
Adequate sleep is crucial for maintaining physical and mental health. Sleep has a significant impact on mood, cognition, and overall functioning. Encouraging the client to establish a healthy sleep routine can contribute to their well-being.
Choice D rationale:
Repression of emotions is not a healthy coping strategy. Repressed emotions can lead to increased stress and exacerbation of physical symptoms. Encouraging the client to express and address their emotions in a healthy manner is more beneficial.
Choice E rationale:
A balanced diet provides essential nutrients that support physical and mental health. Nutritional factors can influence the body's response to stress and affect mood. Encouraging the client to maintain a balanced diet can contribute to their overall well-being.
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