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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Suggesting the children live with other relatives is not necessarily appropriate without further assessment and could be distressing to the client.
B. Offering information about a support group for parents can provide the client with additional resources and support, which is beneficial in managing the challenges of parenting with a borderline personality disorder.
C. Encouraging the children to visit the psychiatric unit may not be appropriate and could be confusing or frightening for young children.
D. Notifying child protective services is not warranted unless there is evidence of neglect or abuse.
Correct Answer is D
Explanation
A. Speaking softly can be appropriate, but it is more important to use a supportive and empathetic tone, considering the client's comfort.
B. Direct eye contact might be uncomfortable or intimidating for some clients, especially after trauma. It's better to use gentle and respectful communication.
C. Asking open-ended questions about the perpetrator can be overwhelming and intrusive. The focus should be on providing support and listening to the client’s needs.
D. Sitting next to the client can create a sense of closeness and support, as long as it is done respectfully and with the client's consent. This approach fosters a supportive environment.
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