A nurse is caring for a client who is diagnosed with a conversion disorder. What actions should the nurse include in the plan of care?

Encourage alone time for the client in seclusion

Assess one time for self-harm during treatment

Discuss alternative coping strategies with the client

Allow for unlimited discussion of physical symptoms

Answer and Explanation

The Correct Answer is C

a. Encourage alone time for the client in seclusion: Encouraging alone time in seclusion may exacerbate feelings of isolation and is not typically recommended for clients with conversion disorder, who may benefit more from social support and therapeutic interventions.
b. Assess one time for self-harm during treatment: While assessing for self-harm is important, it is not specific to conversion disorder and should be part of routine nursing care for all clients, regardless of diagnosis.
c. Discuss alternative coping strategies with the client: This is correct because exploring alternative coping strategies can help the client manage stressors and symptoms associated with conversion disorder in healthier ways.
d. Allow for unlimited discussion of physical symptoms: Allowing unlimited discussion of physical symptoms may reinforce symptom focus and is not typically recommended in the treatment of conversion disorder, where the focus is on addressing underlying psychological distress.

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Correct Answer is B

Explanation

a. Zalepion: Zalepion is a hypnotic agent used for the short-term treatment of insomnia. It is not used to treat cognitive impairment in Alzheimer's disease.
b. Donepezil: Donepezil is a cholinesterase inhibitor commonly prescribed to manage symptoms of Alzheimer's disease. It works by increasing the levels of acetylcholine in the brain, which can help improve cognitive function and slow the progression of symptoms
c. Nortriptyline: Nortriptyline is a tricyclic antidepressant, not typically used for cognitive impairment in Alzheimer's disease.
d. Quetiapine: Quetiapine is an antipsychotic medication used to treat mood disorders and schizophrenia. It is not primarily used for treating cognitive impairment in Alzheimer's disease

A. "There is a chemical imbalance of the brain, which leads to altered perceptions." B. "The hallucinations are caused by medication interactions." C. "There is too little serotonin in the brain, causing delusions and hallucinations." D. Abnormal hormonal changes have precipitated auditory hallucinations."

Correct Answer is A

Explanation

a. "There is a chemical imbalance of the brain, which leads to altered perceptions." Schizophrenia is a complex mental health disorder with a strong biological component. While the exact cause is unknown, it's believed to involve abnormalities in brain chemistry and neurotransmitters. This is a general explanation that avoids going into too much detail but acknowledges the biological basis of hallucinations.
b. "The hallucinations are caused by medication interactions." Hallucinations are a core symptom of schizophrenia and not necessarily caused by medication interactions.
c. "There is too little serotonin in the brain, causing delusions and hallucinations." While serotonin might be involved in schizophrenia, it's not the only neurotransmitter implicated.
d. Abnormal hormonal changes have precipitated auditory hallucinations." Hormonal changes might influence mood, but they are not the primary cause of auditory hallucinations in schizophrenia.

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A nurse is caring for a client who is diagnosed with a conversion disorder. What actions should the nurse include in the plan of care?

Nursing Test Bank

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