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 A

Explanation

A. describes secretive behavior, which is indicative of bulimia nervosa.

B. It suggests laxative misuse, which can be a compensatory behavior associated with bulimia nervosa. However, it does not directly address the binge-purge cycle or the emotional aspect of the behavior.

C. This describes behavior more characteristic of anorexia nervosa rather than bulimia nervosa. Anorexia nervosa involves restrictive eating behaviors and a distorted body image, whereas bulimia nervosa typically involves binge eating episodes followed by compensatory behaviors.

D. This feeling of euphoria or emotional relief during binge-purge episodes is not commonly reported by individuals with bulimia nervosa.It is mostly a complusion that bring remorse afterwards.

A. Offer the client information about a support group for parents. B. Suggest the children live with other relatives. C. Notify child protective services. D. Encourage the children to visit the psychiatric unit when the client is leaving.

Correct Answer is A

Explanation

A Offering information about support groups for parents can provide the client with access to peer support, education, and resources to help them navigate the challenges of parenting while dealing with their mental health condition. This approach supports the client's autonomy and emphasizes a strengths-based perspective, promoting resilience and well-being for both the client and their children.

B. This option may not be appropriate without further assessment of the client's ability to care for their children.

C. This option should be considered only if there are significant concerns about the safety and welfare of the children, such as neglect or abuse, which cannot be addressed through other means.

D. Encouraging the children to visit the psychiatric unit may not be appropriate, as it may be overwhelming or distressing for them.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

Correct Answer is A

Explanation

A nurse is providing discharge teaching to a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is teaching a newly licensed nurse about the needs of clients who are a part of a vulnerable population. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is caring for a 50-year-old client who is being evaluated for late-onset schizophrenia. Which of the following findings should the nurse expect?

A nurse is caring for a client who screams, "I can read your minds! The nurse should identify this finding as a manifestation of which of the following personality disorders?

A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?

A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?

A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

A nurse on a mental health unit is planning care for a client who has a new diagnosis of non- suicidal self-harm (NSSH). Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?