A nurse should suspect which disorder when a client is able to move his arm in private but states to others that his arm is paralyzed?
Personality disorder
Hypochondriasis
Conversion disorder
Cyclothymic disorder
The Correct Answer is C
A. Personality disorder: Personality disorders involve enduring patterns of behavior and inner experiences that deviate from the norm, but they do not typically include symptoms like claimed paralysis.
B. Hypochondriasis: Hypochondriasis (now classified as illness anxiety disorder) involves excessive worry about having a serious illness but does not involve actual loss of function.
C. Conversion disorder: Conversion disorder involves neurological symptoms that cannot be explained by medical evaluation. Symptoms can include paralysis, blindness, or other neurological deficits that are inconsistent with medical findings and often arise in response to psychological stress.
D. Cyclothymic disorder: Cyclothymic disorder involves chronic fluctuating moods but does not typically include conversion symptoms like paralysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Share findings with other caregivers. Sharing information with other caregivers is important for continuity of care but is not a direct intervention for managing anger and aggression.
B. Set limits on client behaviors. Setting limits on behavior is necessary, but it should be done within the context of a trusting relationship.
C. Establish and maintain a trusting relationship: Building a trusting relationship is the foundation for effective therapeutic interventions, including managing anger and aggression.
D. Offer prn medication: Offering prn medication can help manage symptoms but should be part of a broader therapeutic strategy.
Correct Answer is C
Explanation
A. Ignore the incident since it is an attention-seeking behavior: Ignoring the incident is not appropriate because the client may be in distress or at risk of harm.
B. Stay with the group and ask another client to go and check on the situation: Asking another client to check on the situation is not appropriate, as it is the nurse's responsibility to ensure the safety of all clients.
C. Follow the client to determine the cause of the behavior: Following the client allows the nurse to assess and intervene appropriately to ensure the client's safety and address the cause of the behavior.
D. Ask the group what they think about the client's behavior: Discussing the behavior with the group is not appropriate in an emergency situation and does not address the immediate needs of the distressed client.
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