A client's wife tells the nurse that her husband strongly believes that he is Jesus. She states that she tells her husband that he is not Jesus, but he truly believes that he is and that he can perform miracles. Which disorder does the nurse suspect the client has?
Schizophrenia
Anxiety
Attention deficit-hyperactivity disorder (ADHD)
Major depressive disorder (MDD)
The Correct Answer is A
Choice A reason: Schizophrenia often involves delusions, such as believing one is a religious figure or has supernatural powers. This fixed false belief, despite evidence to the contrary, is characteristic of psychotic disorders.
Choice B reason: Anxiety disorders involve excessive worry, fear, or panic but do not typically include delusions or hallucinations. This presentation is not consistent with anxiety.
Choice C reason: ADHD involves inattention, hyperactivity, and impulsivity. It does not cause psychotic symptoms such as delusions of grandeur.
Choice D reason: Major depressive disorder involves persistent sadness, hopelessness, and loss of interest. Psychotic features can occur in severe depression, but the specific delusion of being Jesus is more consistent with schizophrenia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Psychosis involves hallucinations, delusions, and disorganized thinking. Flashbacks are trauma-related symptoms, not psychotic features.
Choice B reason: Secondary trauma occurs when children of parents with PTSD internalize or mirror trauma symptoms. Evidence supports that children exposed to parental trauma may develop similar symptoms.
Choice C reason: Pretending to have PTSD symptoms for secondary gain is not supported by evidence. This interpretation stigmatizes military children and ignores the real impact of trauma exposure.
Choice D reason: Flashbacks are not characteristic of substance abuse. Substance abuse may cause cravings, withdrawal, or intoxication symptoms, but not trauma-related flashbacks.
Correct Answer is B
Explanation
Choice A reason: Disengaged boundaries occur when family members are emotionally distant and uninvolved in each other’s lives. This does not fit the scenario, as the parent is overly involved and emotionally dependent on the client’s social activities.
Choice B reason: Enmeshed boundaries describe families where roles and identities are overly intertwined, with little separation between members. The parent’s behavior of crying when excluded and claiming the client’s friends as her own demonstrates a lack of healthy separation and autonomy. This is a classic example of enmeshment.
Choice C reason: Rigid boundaries occur when family members are overly strict, inflexible, and resistant to change. This does not apply here, as the parent is not distant or inflexible but overly involved.
Choice D reason: Restructured boundaries refer to boundaries that have been adjusted or improved through therapy or intervention. The scenario describes a problem, not a resolution, so this option is incorrect.
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