A nurse is reviewing the medical record of a client who reports severe pain in their head and abdomen. The client's blood toxicology test reveals ingestion of a common insect poison. The client states. "I like to feel like I am the center of a TV show medical drama. That is why I took the poison." The client denies suicidal intent or ideation. Which of the following disorders best describes the client's condition?

Functional neurological symptom disorder

Factitious disorder

illness anxiety disorder

Somatic symptom disorder

Answer and Explanation

The Correct Answer is B

B. Factitious disorder involves feigning or inducing physical or psychological symptoms in oneself to assume the sick role and receive attention or care, often from medical professionals.

A. Functional neurological symptom disorder (previously known as conversion disorder) involves the presence of neurological symptoms that are inconsistent with known neurological conditions or diseases.

C. The primary focus in illness anxiety disorder is on the fear of having an illness rather than deliberate fabrication of symptoms.

D. The focus in somatic symptom disorder is on the physical symptoms themselves rather than deliberate fabrication or exaggeration of illness.

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Correct Answer is C

Explanation

C. Codependency refers to a dysfunctional pattern of behavior in which a person excessively relies on another individual (often a partner or family member) for their sense of identity, self- worth, or emotional well-being. In this scenario, the partner's demand to see the client's records

and treatment plan, as well as the assertion of needing to oversee the treatment, suggests an excessive need for control and involvement in the client's life and healthcare decisions.

A. Manipulation involves influencing or controlling someone in a deceptive or dishonest way to achieve one's own goals.

B. Marginalization refers to the exclusion or relegation of a person or group to a lower or outer edge of society or a group.

D. Enabling refers to behaviors that unintentionally or intentionally allow someone to continue engaging in harmful behaviors or avoid facing consequences.

A. Cockroaches B. Mold C. Hepatitis B D. Radon

Correct Answer is A

Explanation

A. Cockroach allergens are common triggers for asthma and allergic reactions in susceptible individuals. Cockroach droppings, saliva, and decomposing body parts contain allergenic proteins that can become airborne and trigger respiratory symptoms such as wheezing, coughing, and shortness of breath in individuals with asthma or allergies.

B. Mold can also trigger an allergic reaction in susceptible individuals but not as significant as cockroach allergens.

C. Hepatitis B is a viral infection that primarily affects the liver and is not directly related to asthma or allergies

D. Radon exposure it is not directly related to asthma or allergies.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?

Correct Answer is A

Explanation

A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?

A nurse is preparing a presentation about alcohol withdrawal. Which of the following findings should the nurse include in the presentation?

A nurse is presenting an in-service about the cycle of violence to nursing staff. The nurse should include that which of the following occurs during phase 1 of the cycle of violence?

A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?

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?