A nurse is caring for a client who states, "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?

Dissociative amnesia

Depersonalization/derealization disorder

Functional neurological symptom disorder

Factitious disorder

Answer and Explanation

The Correct Answer is C

A. Dissociative amnesia involves an inability to recall important personal information, usually of a traumatic or stressful nature, not physical symptoms.

B. Depersonalization/derealization disorder involves feelings of detachment from oneself or one's surroundings, not physical symptoms.

C. Functional neurological symptom disorder (also known as conversion disorder) involves neurological symptoms, such as numbness or paralysis, that cannot be explained by medical conditions, often triggered by psychological stress.

D. Factitious disorder involves the intentional production or feigning of physical or psychological symptoms to assume the sick role.

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Correct Answer is C

Explanation

A. Fetal alcohol syndrome is caused by maternal alcohol use during pregnancy and includes a range of physical and cognitive impairments, not opioid withdrawal symptoms.

B. Tolerance refers to the body's reduced response to a drug after prolonged use and does not describe the withdrawal symptoms seen in a newborn.

C. Neonatal abstinence syndrome (NAS) is the condition characterized by withdrawal symptoms in newborns due to exposure to opioids in utero.

D. Substance use disorder describes the condition in the mother, not the withdrawal symptoms in the newborn.

A. "Nursing interventions for this diagnosis are very limited, regardless of age." B. "Usually, older clients have better treatment outcomes." C. "Assessing for thoughts of self-harm is important, regardless of age.” D. "Usually, only adults are on psychiatric medication for this disorder.”

Correct Answer is C

Explanation

A. Nursing interventions are crucial for both children and adults with dissociative identity disorder, and they involve tailored approaches depending on developmental needs.

B. Treatment outcomes can vary widely and are not necessarily better for older clients. Treatment success depends on various factors including individual circumstances and the presence of supportive therapies.

C. Assessing for thoughts of self-harm is critical in both children and adults with dissociative identity disorder, as self-harm is a potential risk in this population.

D. Both children and adults with dissociative identity disorder may be prescribed psychiatric medications, depending on their symptoms and treatment needs.

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A nurse is caring for a client who states, "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who recently gave birth. The nurse notices the newborn is displaying manifestations of opioid withdrawal. The nurse should recognize the newborn's manifestations as signs of which of the following conditions?

Correct Answer is C

Explanation

A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks, "How is nursing care different for children diagnosed with dissociative identity disorder compared to adults?" How should the nurse best respond?

Correct Answer is C

Explanation

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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?

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