An 18-year-old man is involved in a motorcycle accident and sustains a closed head injury. After being in a coma for a few weeks, he awakens to find he has no memory of his family or life, and his cognitive function has declined to that of a 9- or 10-year-old child. His memories of his family and life never return, and he must re-learn how to perform activities of daily living. These findings are most consistent with:
Factitious disorder
Transient global amnesia
Major neurocognitive disorder due to traumatic brain injury
Ataque de nervios
The Correct Answer is C
Choice A reason: Factitious disorder involves intentionally producing or feigning symptoms to assume the sick role. This patient’s cognitive deficits are clearly related to trauma, not deliberate deception.
Choice B reason: Transient global amnesia is a brief, temporary episode of memory loss, often lasting hours, from which the patient recovers. This patient’s memory loss is permanent, ruling out this diagnosis.
Choice C reason: Major neurocognitive disorder due to traumatic brain injury involves significant cognitive decline after head trauma, including memory loss, impaired executive function, and the need to relearn daily living skills. This matches the patient’s presentation.
Choice D reason: Ataque de nervios is a culturally bound syndrome characterized by acute anxiety, emotional outbursts, and somatic symptoms, unrelated to trauma-induced cognitive deficits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Bird’s safety triangle focuses on accident statistics and incident ratios, not systemic safety culture.
Choice B reason: Reason’s Swiss Cheese model illustrates that errors occur when multiple system defenses fail, emphasizing a culture of safety that examines latent failures and prevents blame, which aligns with the Just Culture approach.
Choice C reason: Heinrich’s domino model attributes accidents primarily to individual error, not systemic factors, and is less aligned with Just Culture principles.
Choice D reason: Rasmussen’s drift into failure model emphasizes gradual erosion of safety through organizational drift, which is related to but does not define the Just Culture model.
Correct Answer is B
Explanation
Choice A reason: Highlighting risk of suicide in a confrontational or accusatory manner may increase parental defensiveness and does not provide a constructive framework for supporting the child.
Choice B reason: Conversion therapy has been widely discredited as harmful and ineffective. Educating parents on this evidence-based information protects the child’s mental health and is a professional, nonjudgmental way to guide care.
Choice C reason: This statement fails to provide guidance or protection for the child and may inadvertently support harmful practices.
Choice D reason: While emphasizing child well-being is important, this confrontational phrasing may alienate parents and reduce their receptivity to professional advice.
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