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 C

Explanation

A. School-age. While some early signs of schizophrenia may appear in childhood, the diagnosis is generally not made during this age group. Schizophrenia typically manifests later, with more distinct symptoms.
B. Older adulthood. Schizophrenia is not commonly diagnosed in older adulthood. While some individuals may experience late-onset schizophrenia, the majority of cases are diagnosed earlier in life, typically in young adulthood.
C. Young adulthood. Schizophrenia is most commonly diagnosed in late adolescence to early adulthood, usually between the ages of 18 and 30. This age group is critical as the onset of symptoms tends to occur during this developmental period.
D. Preschooler. Schizophrenia is extremely rare in preschool-aged children. Diagnosing schizophrenia in this age group is challenging, as many of the behaviors associated with the disorder can overlap with typical developmental variations.

A. Assess the client for suicidal ideation and thoughts of self-harm. B. Determine if the client has entered one of their alter personalities. C. Encourage the client to use relaxation techniques. D. Encourage the client to participate in group therapy sessions.

Correct Answer is A

Explanation

A. Assess the client for suicidal ideation and thoughts of self-harm. The client's statement about feeling tired of living and contemplating ending it all indicates a potential risk for suicide. It is essential for the nurse to conduct a thorough assessment of the client’s mental state, including any suicidal thoughts or plans, to ensure their safety.
B. Determine if the client has entered one of their alter personalities. This action is not relevant to factitious disorder, as it involves intentionally producing or feigning symptoms rather than dissociative identity disorder, which features the presence of distinct personality states.
C. Encourage the client to use relaxation techniques. While relaxation techniques can be beneficial for managing stress, they do not address the immediate risk of suicidal ideation and should not be prioritized over a safety assessment.
D. Encourage the client to participate in group therapy sessions. While group therapy can be beneficial, it may not be appropriate to encourage participation until the client's safety is ensured. Assessing for suicidal thoughts takes precedence to address any immediate risk to the client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with an in-service to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

Correct Answer is C

Explanation

A nurse is caring for a client who has factitious disorder. The client states, "I am so tired of living like this. Maybe I should just end it all." Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?

A nurse is caring for a school-age client in an outpatient clinic. Exhibits The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)

A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

A nurse is reinforcing teaching with a client who has an eating disorder about mindfulness and distress tolerance skills. This is an example of which of the following treatment modalities?

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A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?

A nurse is reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder?