A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?

"Clients who have this disorder consciously control the manifestations."

"Clients who have this disorder exhibit more than one personality."

"Feeling outside of one's body is a primary manifestation of this disorder."

"The manifestations of this disorder are worse during times of increased stress."

Answer and Explanation

The Correct Answer is D

A. "Clients who have this disorder consciously control the manifestations." Functional neurological symptom disorder (formerly conversion disorder) involves involuntary neurological symptoms, such as paralysis, blindness, or seizures, that lack a medical explanation. Clients do not consciously produce or control these symptoms.
B. "Clients who have this disorder exhibit more than one personality." Multiple personalities are characteristic of dissociative identity disorder (DID), not functional neurological symptom disorder. Clients with functional neurological symptom disorder experience physical symptoms, not identity fragmentation.
C. "Feeling outside of one's body is a primary manifestation of this disorder." Feeling detached from one's body, known as depersonalization, is a symptom of depersonalization/derealization disorder. Functional neurological symptom disorder primarily involves physical, rather than perceptual, disturbances.
D. "The manifestations of this disorder are worse during times of increased stress." Symptoms of functional neurological symptom disorder often intensify during emotional or psychological stress. Stress-related factors contribute to the onset or worsening of symptoms, making stress management a key part of treatment.

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Correct Answer is D

Explanation

A. Treatment is usually enough to overcome any social determinants. This statement is misleading, as social determinants of health significantly impact mental health and treatment outcomes. Effective treatment often requires addressing these determinants rather than relying solely on clinical interventions.
B. The client will be unable to change any of their social determinants of health. This is not accurate; while some social determinants can be challenging to change, individuals and communities can work towards improving their circumstances through support and resources.
C. Social determinants of health are mostly negative effects on a person's physical health. While social determinants can negatively affect physical and mental health, they also encompass positive factors that can support well-being, such as access to education and social support.
D. Social determinants can be an advantage or a challenge to treatment for an SMI. This statement accurately reflects that social determinants, such as socioeconomic status, community support, and access to healthcare, can either facilitate or hinder the treatment and recovery process for individuals with serious mental illnesses.

A. "A family member took me fishing several times when I was a kid." B. "My parent used their fists to hit me as a child." C. "My parent was physically abused as a child." D. "I drink a glass of wine occasionally with dinner."

Correct Answer is B

Explanation

A. "A family member took me fishing several times when I was a kid." This statement reflects a positive memory of a family activity and does not contribute to understanding aggressive behavior.
B. "My parent used their fists to hit me as a child." This statement indicates a history of physical abuse in childhood, which can be a significant contributing factor to aggressive behavior in adulthood. Experiencing violence in the home can lead to the normalization of aggression as a means of resolving conflict or expressing emotions.
C. "My parent was physically abused as a child." While this statement indicates a cycle of violence, it does not directly reflect the client's own experiences that may contribute to their aggressive behavior. It may suggest a learned behavior pattern, but it is less direct than the client's personal experience of being abused.
D. "I drink a glass of wine occasionally with dinner." This statement about moderate alcohol consumption does not inherently indicate a risk factor for aggression. While substance use can contribute to aggressive behavior in some individuals, occasional drinking with meals is generally not considered a significant risk factor on its own.

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A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is providing information regarding the social determinants of mental health and persons with serious mental illnesses (SMI). Which of the following pieces of information should the nurse share during the presentation?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?