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?
Factitious disorder
Dissociative amnesia
Depersonalization/derealization disorder
Functional neurological symptom disorder
The Correct Answer is D
D. FNSD involves neurological symptoms that cannot be explained by a medical or neurological condition but are believed to be related to psychological factors. In this case, the client's symptoms of numbness are likely somatic manifestations of underlying psychological distress or conflict.
A. Factitious disorder involves intentionally producing or feigning physical or psychological symptoms for the purpose of assuming the sick role.
B. Dissociative amnesia involves memory loss that is not attributable to neurological conditions or substance use and is often associated with stressful or traumatic events.
C. Depersonalization/derealization disorder involves experiences of detachment from oneself or one's surroundings.
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Correct Answer is A
Explanation
A. Opioids are often prescribed for pain management, and individuals with chronic pain conditions may be at increased risk for developing opioid use disorder if they misuse or become dependent on these medications.
B. While opioids can have sedating effects and may be used by some individuals to promote sleep, it is less likely to be a primary reason for starting opioid use, especially in the context of other significant factors such as chronic pain and anxiety.
C. While exposure to parental substance use can contribute to an individual's risk of developing substance use disorders, there is no indication in the scenario provided that the client's parents used opioids specifically or that their parents' substance use directly influenced the client's opioid use.
D. Opioids are not typically used to treat hallucinations, and their use for performance enhancement in the workplace is uncommon.
Correct Answer is D
Explanation
D. Antisocial personality disorder (ASPD) is characterized by a pervasive pattern of disregard for and violation of the rights of others. Individuals with ASPD often engage in impulsive and aggressive behaviors, such as physical fights, reckless disregard for safety, and criminal activities. A Narcissistic personality disorder: Individuals with narcissistic personality disorder may display grandiosity, a need for admiration, and a lack of empathy, but they typically do not engage in aggressive or impulsive behavior.
B. While aggression can occur in individuals with borderline personality disorder, it is often directed towards themselves rather than others, and the presentation described in the scenario is more indicative of ASPD.
C. Individuals with histrionic personality disorder may seek attention, display exaggerated emotions, and have a strong desire to be the center of attention, but they are not typically associated with aggressive or violent behavior as described in the scenario.
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