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 B

Explanation

A. The SANE does not directly request police involvement; their role is to provide forensic evidence collection and medical care while supporting the client’s choices. Law enforcement involvement depends on the client’s consent and legal requirements.

B. A key role of the SANE is to provide factual, expert testimony in legal proceedings regarding the evidence collected during the examination. This helps ensure that the findings are accurately presented in court and supports the legal process without acting as an advocate or attorney.

C. While protecting the client from further harm is part of nursing care, the SANE specifically focuses on forensic evaluation and documentation rather than general protective actions. Safety is addressed, but the legal testimony role is the distinguishing responsibility.

D. The SANE cannot require the client to report the assault to the police; reporting is voluntary unless mandated by state law. Respecting client autonomy is essential in sexual assault care.

A. "A family member took me fishing several times when I was a kid." B. "My parent used their fists to hit me as a child." C. "My parent was physically abused as a child." D. "I drink a glass of wine occasionally with dinner."

Correct Answer is B

Explanation

A. "A family member took me fishing several times when I was a kid." This statement reflects a positive memory of a family activity and does not contribute to understanding aggressive behavior.
B. "My parent used their fists to hit me as a child." This statement indicates a history of physical abuse in childhood, which can be a significant contributing factor to aggressive behavior in adulthood. Experiencing violence in the home can lead to the normalization of aggression as a means of resolving conflict or expressing emotions.
C. "My parent was physically abused as a child." While this statement indicates a cycle of violence, it does not directly reflect the client's own experiences that may contribute to their aggressive behavior. It may suggest a learned behavior pattern, but it is less direct than the client's personal experience of being abused.
D. "I drink a glass of wine occasionally with dinner." This statement about moderate alcohol consumption does not inherently indicate a risk factor for aggression. While substance use can contribute to aggressive behavior in some individuals, occasional drinking with meals is generally not considered a significant risk factor on its own.

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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 assisting a sexual assault nurse examiner (SANE) with the care of a client who has experienced sexual assault. The nurse should identify which of the following as the role of the SANE?

Correct Answer is B

Explanation

A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?

Correct Answer is B

Explanation

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