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 A

Explanation

A. Assess the client for suicidal ideation and thoughts of self-harm. The client's statement about feeling tired of living and contemplating ending it all indicates a potential risk for suicide. It is essential for the nurse to conduct a thorough assessment of the client’s mental state, including any suicidal thoughts or plans, to ensure their safety.
B. Determine if the client has entered one of their alter personalities. This action is not relevant to factitious disorder, as it involves intentionally producing or feigning symptoms rather than dissociative identity disorder, which features the presence of distinct personality states.
C. Encourage the client to use relaxation techniques. While relaxation techniques can be beneficial for managing stress, they do not address the immediate risk of suicidal ideation and should not be prioritized over a safety assessment.
D. Encourage the client to participate in group therapy sessions. While group therapy can be beneficial, it may not be appropriate to encourage participation until the client's safety is ensured. Assessing for suicidal thoughts takes precedence to address any immediate risk to the client.

A. Neglect B. Emotional C. Physical D. Economic

Correct Answer is D

Explanation

A. Neglect. Neglect involves failing to provide essential care, such as food, medication, or hygiene, leading to harm or risk of harm. In this case, the issue is financial exploitation rather than neglect.
B. Emotional. Emotional abuse includes verbal threats, humiliation, intimidation, or psychological manipulation. While financial exploitation can cause emotional distress, the primary concern in this scenario is unauthorized financial activity.
C. Physical. Physical abuse involves the infliction of bodily harm, such as hitting, pushing, or restraining. There is no indication that the client has suffered physical injury or assault.
D. Economic. Economic (or financial) abuse occurs when a caregiver misuses or exploits an older adult’s financial resources without consent. Writing checks in the client’s name without permission is a clear example of financial exploitation.

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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 caring for a client who has factitious disorder. The client states, "I am so tired of living like this. Maybe I should just end it all." Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for an older adult client who reports their caregiver has been writing checks in their name without their consent. Which of the following types of abuse is the client experiencing?

Correct Answer is D

Explanation

A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?

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A nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase?

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