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?

Systematic desensitization

Daily benzodiazepines to prevent new symptoms.

Daily physical therapy

A combination of medication and psychotherapy

Answer and Explanation

The Correct Answer is D

A. Systematic desensitization. This therapeutic approach is primarily used for anxiety disorders and phobias, not specifically for functional neurological symptom disorder. It may not directly address the complexities of the symptoms associated with this disorder.
B. Daily benzodiazepines to prevent new symptoms. Benzodiazepines are generally not the first-line treatment for functional neurological symptom disorder. While they may provide short-term relief for anxiety, they do not address the underlying issues related to functional symptoms and can lead to dependency.
C. Daily physical therapy. While physical therapy can be a component of treatment for functional neurological symptom disorder, focusing solely on physical therapy may not address the psychological factors that contribute to the disorder.
D. A combination of medication and psychotherapy. This approach is recognized as the most effective treatment for functional neurological symptom disorder. Psychotherapy, particularly cognitive-behavioral therapy (CBT), can help address the psychological aspects of the disorder, while medication may be used to manage comorbid conditions such as anxiety or depression. This combination provides a comprehensive treatment strategy.

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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.

A. Identification phase B. Exploitation phase C. Resolution phase D. Orientation Phase

Correct Answer is B

Explanation

A. Identification phase. In this phase, the nurse and client begin to build a therapeutic relationship and establish trust. The focus is on identifying the client's needs and concerns rather than actively engaging in therapeutic interventions like guided therapy.
B. Exploitation phase. During the exploitation phase, the nurse encourages the client to utilize the resources and therapeutic interventions available to them. This is an appropriate time to suggest guided therapy sessions, as the client is actively engaged in exploring their issues and working toward improvement.
C. Resolution phase. The resolution phase involves evaluating the progress made and preparing for the termination of the nurse-client relationship. It is not the appropriate time to introduce new therapeutic modalities, as the focus shifts to consolidating gains and planning for future support.
D. Orientation phase. The orientation phase establishes the groundwork for the therapeutic relationship, including discussing goals and expectations. While important, it is not the phase where guided therapy sessions would typically be suggested, as the relationship is still in its initial stages.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 caring for a client who has schizophrenia. In which of the following phases of the nurse-client relationship should the nurse suggest a guided therapy session?

Correct Answer is B

Explanation

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