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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Shuffling walk. A shuffling walk is typically associated with parkinsonism or other movement disorders, which may occur with antipsychotic medications, but the specific symptom of restlessness more directly relates to other conditions.
B. Suicidal ideation. While monitoring for suicidal ideation is important in any client with psychosis, it is not specifically associated with the restlessness that the client reports in relation to chlorpromazine use.
C. Abnormal movements of the tongue and face. Abnormal movements of the tongue and face are more characteristic of tardive dyskinesia, which develops over a longer period of treatment. The acute restlessness the client is experiencing is more closely aligned with akathisia, a side effect of antipsychotic medications.
D. Oculogyric crisis. This condition involves involuntary upward eye movement and can occur as an acute dystonic reaction to antipsychotic medications like chlorpromazine. Given the client's report of restlessness, the nurse should monitor for this adverse effect, as it is more likely to manifest in the context of acute medication side effects.
Correct Answer is B
Explanation
A. Bullying. Bullying typically involves repeated aggressive behavior that is intended to intimidate or harm another individual, often occurring in a more social or organizational context, such as schools or workplaces. The described behavior does not align with this definition.
B. Stalking. Stalking involves unwanted and repeated surveillance or contact with an individual, which can include leaving items at their residence. The attendee's experience of seeing the same person outside their apartment and receiving items at their door indicates a pattern of behavior consistent with stalking.
C. Assault. Assault refers to the threat or act of causing physical harm to another person. In this scenario, there is no indication of a direct threat or physical attack, so this option is not applicable.
D. Abandonment. Abandonment typically refers to a caregiver or responsible party leaving a person without necessary care or support. This concept does not fit the situation described, as it does not involve the dynamics of an aggressive or threatening relationship.
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