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?

Assess the client for suicidal ideation and thoughts of self-harm.

Determine if the client has entered one of their alter personalities.

Encourage the client to use relaxation techniques.

Encourage the client to participate in group therapy sessions.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is ["A","B","C","D","F"]

Explanation

A. "Smoking during pregnancy can place the child at an increased risk for developing anger and aggression." This statement reflects an understanding of how prenatal exposure to harmful substances can affect a child's development and increase the risk of aggressive behaviors later in life.
B. "Clients who live in areas of high pollution are at an increased risk for developing anger and aggression." Research indicates that environmental factors, including pollution, can have negative effects on mental health and behavior, potentially leading to increased aggression.
C. "Families who have financial hardships are at an increased risk for developing anger and aggression." Financial stress can contribute to increased tension and conflict within families, which can lead to higher levels of aggression.
D. "Clients who live in areas of high crime are at an increased risk for developing anger and aggression." Living in high-crime areas can create a sense of fear and instability, potentially leading to aggressive behaviors as a coping mechanism or a learned response to the environment.
E. "Clients who live in suburban areas are at an increased risk for developing anger and aggression." This statement does not accurately reflect evidence-based risk factors for aggression, as suburban areas are not generally associated with higher levels of aggression compared to urban or high-crime areas.
F. "Families who live in low-income housing are at an increased risk for developing anger and aggression." Economic stressors associated with low-income housing can lead to increased conflict and aggression within families, making this statement valid.

A. Insist the client report the incident. B. Touch the client for reassurance. C. Ask the client a series of questions about who assaulted them. D. Allow the client to control the conversation.

Correct Answer is D

Explanation

A. Insist the client report the incident. While reporting the incident may be important, it is not appropriate to insist that the client do so, as this can create additional pressure and may lead to feelings of coercion. The client should be allowed to make their own choices regarding reporting.
B. Touch the client for reassurance. Touching the client without their consent can be intrusive and may not be welcome, especially after a trauma. It's essential to respect the client's personal space and boundaries.
C. Ask the client a series of questions about who assaulted them. While gathering information may be necessary, bombarding the client with questions immediately after a traumatic event can be overwhelming. It’s better to allow the client to share information at their own pace.
D. Allow the client to control the conversation. Empowering the client to control the discussion fosters a sense of safety and autonomy. It allows them to share their feelings and experiences when they feel ready, which is crucial for their emotional healing after an assault.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","F"]

Explanation

A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

Correct Answer is D

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?

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