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 A

Explanation

A. Somatic symptom disorder requires that the client experiences symptoms for at least 6 months. This duration helps to distinguish chronic symptoms from those that are transient or short-term.

B. 1 week is too short for a diagnosis of somatic symptom disorder; it does not meet the criteria for the duration of symptoms.

C. 3 months is not sufficient for diagnosing somatic symptom disorder; symptoms need to be present for a longer period.

D. 4 weeks is too short to meet the criteria for a diagnosis of somatic symptom disorder.

A. Traumatic brain injury B. HIV infection C. Prion disease D. Lewy body disease

Correct Answer is D

Explanation

A. Dementia due to traumatic brain injury does not typically present with fluctuating cognition and visual hallucinations.

B. HIV infection can cause cognitive impairment, but it is not typically associated with visual hallucinations and fluctuating cognition.

C. Prion diseases (such as Creutzfeldt-Jakob disease) cause rapid cognitive decline but are not specifically associated with visual hallucinations and fluctuating cognition.

D. Lewy body disease is characterized by fluctuating cognition, visual hallucinations, and Parkinsonism, making it the most likely diagnosis for this client.

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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 has a new diagnosis of somatic symptoms disorder. The nurse should identify that the client must have been experiencing manifestations of the disorder for how long before diagnosis?

Correct Answer is A

Explanation

A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?

Correct Answer is D

Explanation

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