A nurse is caring for a school-age client in an outpatient clinic.

Exhibits

The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)

Withdrawn

Multiple hospitalizations

Unexplained abdominal pain

Excessive thinking about health

Recent trauma

Answer and Explanation

Correct Answer : A,B,C,D

A. Withdrawn: The child's withdrawn behavior, such as looking downcast and avoiding eye contact, may indicate emotional distress or a potential psychological issue, which can be associated with factitious disorder. Individuals with factitious disorder may exhibit emotional signs that reflect their internal struggles and manipulation of health-related situations.
B. Multiple hospitalizations: Frequent hospitalizations, especially without a clear medical diagnosis, can suggest factitious disorder. This pattern often reflects a behavior where an individual seeks medical attention and care, indicating a need to assume the sick role.
C. Unexplained abdominal pain: The presence of unexplained abdominal pain, particularly when combined with a history of seeking medical attention, aligns with factitious disorder. In this condition, individuals often feign or produce symptoms for psychological reasons, leading to repeated medical evaluations without a clear medical basis.
D. Excessive thinking about health: An intense preoccupation with health issues can be indicative of factitious disorder. This behavior demonstrates a focus on illness that may lead to manipulative behaviors in seeking attention or care.
E. Recent trauma: While trauma can contribute to various psychological conditions, it is not specifically indicative of factitious disorder. Many individuals may experience trauma without developing this disorder, making it less relevant in this context.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Request the police to gather evidence of the incident. The SANE is responsible for collecting forensic evidence, not the police. While law enforcement may be involved, the SANE conducts the medical forensic examination and ensures evidence is properly documented and preserved.
B. Provide legal testimony on behalf of the client. The SANE can provide expert testimony regarding the forensic examination and findings but does not act as a legal representative for the client. Their role is primarily medical and forensic rather than legal advocacy.
C. Protect the client from further harm. A key responsibility of the SANE is ensuring the client’s immediate safety and well-being. This includes offering medical care, emotional support, and referrals to crisis resources while maintaining a trauma-informed approach.
D. Require the client to call the police. The decision to report the assault to law enforcement is the client’s choice. The SANE provides information about reporting options but does not force or require the client to involve the police.

A. Hallucinations B. Inability to initiate activities C. Antisocial personality D. Lack of emotional expression E. Disorganized behavior F. Impaired interpersonal relationships

Correct Answer is ["A","D","E"]

Explanation

A. Hallucinations. Hallucinations, particularly auditory hallucinations, are one of the core symptoms of schizophrenia. They involve perceiving things that are not present, such as hearing voices.
B. Inability to initiate activities. While this may be a feature of schizophrenia, it is not one of the primary diagnostic criteria. This symptom may be related to negative symptoms but is not specifically required for diagnosis.
C. Antisocial personality. Antisocial personality disorder is a separate diagnosis and not a symptom of schizophrenia. The presence of antisocial personality traits does not fulfill the criteria for schizophrenia.
D. Lack of emotional expression. This symptom, often referred to as flat affect, is considered a negative symptom of schizophrenia and can contribute to the diagnosis, as it indicates diminished emotional responsiveness.
E. Disorganized behavior. Disorganized behavior, including disorganized speech and erratic actions, is a key symptom of schizophrenia and is part of the diagnostic criteria.
F. Impaired interpersonal relationships. While impaired relationships may result from the symptoms of schizophrenia, this is not a specific criterion for diagnosis. The focus is on the presence of specific symptoms such as hallucinations, disorganized behavior, and negative symptoms like lack of emotional expression.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a school-age client in an outpatient clinic. Exhibits The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a sexual assault nurse examiner (SANE) with the care of a client who has experienced sexual assault. The nurse should identify which of the following as the role of the SANE?

Correct Answer is C

Explanation

A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?

A nurse is caring for a client who has schizophrenia and has been taking a first generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?

A nurse is reinforcing teaching with a client who has an eating disorder about mindfulness and distress tolerance skills. This is an example of which of the following treatment modalities?

A nurse is admitting a client who has anorexia nervosa. Which of the following statements should the nurse expect from this client?

A nurse is caring for a client who has factitious disorder. The client states, "I am so tired of living like this. Maybe I should just end it all." Which of the following actions should the nurse take?

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?

A nurse is caring for a school-age client in an outpatient clinic.

Exhibits

The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)