A nurse in an emergency department is collecting data from a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?

Personality Diagnostic Questionnaire

Eysenck Personality Inventory

Toxicology test

Minnesota Multiphasic Personality Inventory (MMP)

Answer and Explanation

The Correct Answer is C

A. Personality Diagnostic Questionnaire: This tool is specifically designed for assessing and diagnosing personality disorders, such as borderline or antisocial personality disorder. While it provides valuable insights into personality traits, it does not yield information on recent substance use and is not applicable for determining if the client has used illicit drugs.
B. Eysenck Personality Inventory: The Eysenck Personality Inventory focuses on measuring personality traits, particularly dimensions like introversion and extraversion. Although it may be useful in understanding the client's personality profile, it lacks the capability to assess or screen for substance use, making it irrelevant in this context.
C. Toxicology test: A toxicology test is the most appropriate screening tool in this situation as it directly analyzes the client’s biological samples (such as urine, blood, or saliva) to detect the presence of illicit substances. This test provides immediate and objective evidence of recent drug use, which is crucial for the nurse to make informed clinical decisions regarding the client's care and potential interventions.
D. Minnesota Multiphasic Personality Inventory (MMP): The MMPI is a comprehensive psychological assessment tool that evaluates various psychological conditions and personality traits. While it can provide insights into the client’s mental health, it does not specifically test for substance use, thus making it an unsuitable option for assessing recent illicit drug consumption.

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Correct Answer is B

Explanation

A. Dissociative amnesia: This diagnosis involves a loss of memory for personal information or events, typically following trauma or stress. It does not relate to intentionally causing injuries or symptoms.
B. Factitious disorder: Individuals with factitious disorder intentionally produce or feign physical or psychological symptoms to assume the role of a sick person. This behavior can include causing self-harm, such as breaking bones, to gain attention, sympathy, or care from others. The client's actions align with this diagnosis.
C. Illness anxiety disorder: Previously known as hypochondriasis, this disorder involves excessive worry about having a serious illness despite having no significant medical evidence. Individuals with this disorder do not intentionally cause harm to themselves; rather, they focus on perceived health concerns.
D. Functional neurological symptom disorder: This disorder involves neurological symptoms that cannot be explained by medical conditions. While individuals may have genuine neurological symptoms, they do not typically engage in self-harm or intentionally inflict injuries as seen in factitious disorder.

A. Symptoms of major depression or mania B. Absence of delusions or hallucinations C. More severe negative symptoms D. Anosognosia is more severe

Correct Answer is A

Explanation

A. Symptoms of major depression or mania: Schizoaffective disorder is characterized by the presence of mood disorder symptoms (such as major depression or mania) in conjunction with symptoms of schizophrenia, including delusions or hallucinations. During the active phase of schizoaffective disorder, individuals experience both psychotic symptoms and significant mood disturbances.
B. Absence of delusions or hallucinations: In schizoaffective disorder, delusions and hallucinations are present alongside mood symptoms. Therefore, the absence of these psychotic symptoms does not characterize the active phase.
C. More severe negative symptoms: While schizoaffective disorder can have negative symptoms, such as emotional flattening or lack of motivation, the emphasis is more on the co-occurrence of mood symptoms rather than solely on negative symptoms.
D. Anosognosia is more severe: Anosognosia refers to a lack of awareness of one's own illness. While it can occur in both schizophrenia and schizoaffective disorder, the severity of anosognosia is not a distinguishing factor specifically associated with the active phase of schizoaffective disorder.

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A nurse in an emergency department is collecting data from a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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