A nurse is assessing a client who repeatedly falsifies psychological symptoms to assume the role of a sick person. What statement is commonly associated with this behavior?
"I'm struggling with altered motor function.".
"I don't know why I'm feeling this way.".
"I just want attention from others.".
"I'm worried about having a serious illness.".
The Correct Answer is C
Choice A rationale:
"I'm struggling with altered motor function.". Choice A is not associated with the behavior described in the question. Altered motor function typically refers to difficulties with movement and coordination, which may be genuine physical issues but are not indicative of intentionally falsifying symptoms for attention.
Choice B rationale:
"I don't know why I'm feeling this way.". Choice B does not accurately reflect the behavior of repeatedly falsifying psychological symptoms for attention. This statement suggests a lack of understanding regarding one's feelings, rather than intentionally seeking attention through fabricated symptoms.
Choice C rationale:
"I just want attention from others.". Choice C is the correct answer. This statement is commonly associated with the behavior described in the question. Individuals who falsify or exaggerate psychological symptoms often do so to gain attention from others. This behavior is characteristic of factitious disorders, where the primary motivation is to be seen as ill and receive care and concern.
Choice D rationale:
"I'm worried about having a serious illness.". Choice D does not align with the behavior of intentionally falsifying psychological symptoms for attention. Expressing concern about a serious illness might indicate genuine health-related anxiety but does not reflect the behavior described in the question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Providing excessive attention to the client's physical complaints is not conducive to the client's progress. While it's important to address the client's concerns, excessive focus on physical complaints can reinforce illness behavior and hinder the development of healthier coping mechanisms.
Choice B rationale:
Withholding praise for the client's achievements is not supportive of the client's progress. Positive reinforcement is essential for motivating and reinforcing adaptive behaviors. By acknowledging the client's achievements, the nurse can boost their self-esteem and encourage continued improvement.
Choice C rationale:
Acknowledging and praising the client for their improvement is a beneficial approach. Positive reinforcement enhances the client's sense of accomplishment and encourages them to continue engaging in positive behaviors. This approach fosters a therapeutic relationship and supports the client's journey towards better health.
Choice D rationale:
Encouraging the client to focus solely on their illness behavior is counterproductive. Overemphasis on illness behavior can perpetuate the symptoms and prevent the client from developing a broader sense of identity and well-being.
Correct Answer is D
Explanation
Choice A rationale:
Encouraging the client to focus solely on physical symptoms neglects the emotional aspect of somatic symptom illness. A comprehensive approach involves addressing both the physical symptoms and the underlying emotions.
Choice B rationale:
Advising the client to ignore their emotional experiences dismisses an essential component of their condition. Ignoring emotions can lead to emotional distress and exacerbate the somatic symptoms.
Choice C rationale:
Suggesting that the client suppress their emotions would not be beneficial. Emotional suppression can contribute to increased psychological distress and hinder the client's progress toward better emotional well-being.
Choice D rationale:
Assisting the client to identify and use healthy coping strategies is a sound intervention. Coping strategies can help the client manage both physical symptoms and emotional distress in adaptive ways, improving their overall quality of life.
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