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Withdrawn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A. Withdrawn: The child's withdrawn behavior, such as looking downcast and avoiding eye contact, may indicate emotional distress or a potential psychological issue, which can be associated with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.

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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.

A. Dissociative amnesia B. Depersonalization/derealization disorder C. Functional neurological symptom disorder D. Factitious disorder

Correct Answer is C

Explanation

A. Dissociative amnesia. This condition involves memory loss of personal information or past events due to psychological stress or trauma. It does not cause physical symptoms like numbness or an inability to grip the steering wheel.
B. Depersonalization/derealization disorder. This disorder causes feelings of detachment from oneself (depersonalization) or the environment (derealization). While distressing, it does not typically result in sensory or motor deficits such as hand numbness.
C. Functional neurological symptom disorder. Formerly known as conversion disorder, this condition involves neurological symptoms, such as numbness or paralysis, that cannot be explained by a medical condition. The symptoms are often triggered by psychological stress, such as anxiety related to driving.
D. Factitious disorder. Factitious disorder involves deliberately fabricating or inducing symptoms to assume the sick role. In this case, the client is describing involuntary symptoms that appear to have a psychological basis rather than being intentionally produced.

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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 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 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?

Correct Answer is C

Explanation

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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.)