A nurse is providing care to a client who was admitted to the emergency department with superficial lacerations on their leg. The client states, "I was feeling bored, so I used a pair of gardening scissors to cut myself." The client denies current depression and suicidal thoughts. The client is demonstrating manifestations of which of the following disorders?

Somatic symptom disorder

Illness anxiety disorder

Factitious disorder

Functional neurological symptom disorder

Answer and Explanation

The Correct Answer is C

A. Somatic symptom disorder. This disorder involves experiencing physical symptoms that cause significant distress or impairment, typically related to an underlying medical condition. The client’s actions do not reflect a focus on physical symptoms for relief of anxiety or distress in the same way.
B. Illness anxiety disorder. This disorder is characterized by excessive worry about having a serious illness despite minimal or no symptoms. The client’s behavior of intentionally cutting themselves does not align with this disorder, as there is no indication of anxiety over illness.
C. Factitious disorder. This disorder involves intentionally producing or feigning symptoms for the purpose of assuming the sick role, without external incentives. The client’s admission of boredom as the reason for self-harm indicates an intent to create a situation for attention or care, aligning with factitious disorder.
D. Functional neurological symptom disorder. This condition involves neurological symptoms that cannot be explained by medical findings, often presenting as involuntary symptoms. The client’s self-inflicted injuries are not indicative of this disorder, as they intentionally engaged in self-harm.

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Correct Answer is B

Explanation

A. Demand that the client remove hidden objects from their clothing prior to being weighed. While it is important to ensure accurate weight measurement, demanding removal of hidden objects may create a confrontational atmosphere and increase anxiety for the client. A more supportive approach is beneficial in this setting.
B. Invite the client to predict their weight beforehand. Encouraging clients to predict their weight can help engage them in the process and promote a sense of control. This approach may also facilitate a therapeutic conversation about their feelings regarding weight and body image.
C. Monitor for any extra fluids the client may have consumed prior to being weighed. While monitoring fluid intake is important in the overall care of clients with eating disorders, it is not a standard practice to monitor this immediately before weighing unless there is a specific concern about fluid retention or overhydration.
D. Weigh the client each day after their evening meal. Weighing clients daily can contribute to anxiety and unhealthy focus on weight. It is generally more effective to establish a consistent weighing schedule that minimizes distress, such as weekly or bi-weekly measurements, rather than immediately following meals.

A. "Were you avoiding your friend so that you could hear the voices more clearly?" B. "That is very interesting. We are not sure why people start to isolate themselves." C. "Do you think of yourself as more of an introvert? That makes a difference with how you socialize." D. "Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning."

Correct Answer is D

Explanation

A. "Were you avoiding your friend so that you could hear the voices more clearly?" This response may imply blame or judgment and could be perceived as dismissive of the client’s experience. It does not provide a supportive or informative response to the client’s concern.
B. "That is very interesting. We are not sure why people start to isolate themselves." While it acknowledges the client's statement, this response does not provide any useful information or context about the relationship between isolation and the onset of schizophrenia symptoms.
C. "Do you think of yourself as more of an introvert? That makes a difference with how you socialize." This response shifts the focus to personality traits rather than addressing the symptoms of schizophrenia and their impact on social behavior. It may minimize the significance of the client’s experience with isolation.
D. "Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning." This response provides valuable information about the relationship between isolation and the onset of schizophrenia symptoms. It normalizes the client’s experience and helps them understand that social withdrawal can be a sign of emerging symptoms, fostering a better understanding of their condition.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is reviewing treatment options for a client who has functional neurological symptom disorder. Which of the following treatments should the nurse identify as being most effective for this disorder?

A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed. Which of the following statements should the nurse make to the client?

A community health nurse is presenting epidemiological and etiological data related to somatic symptom disorder and related disorders. Which of the following information should the nurse include?

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 assisting with an in-service to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify that which of the following findings are consistent with the client's report? (Select All that Apply.)