The charge nurse of the psychiatric unit observes clients in the day area. Which client is exhibiting symptoms of a conversion disorder?

A young woman who suddenly goes blind with no indication of organic pathology.

An older adult who continuously complains of a headache and back pain.

An adolescent who becomes extremely anxious about going outside.

A middle-aged man who is complaining of shortness of breath and is diaphoretic.

Answer and Explanation

The Correct Answer is A

A.   Conversion disorder involves the manifestation of neurological symptoms without a neurological basis. Sudden blindness with no organic pathology is indicative of a conversion disorder.
B.   Complaints of headache and back pain may have organic or psychogenic causes; it does not specifically point to conversion disorder.
C. Extreme anxiety about going outside may be indicative of various anxiety disorders but does not align with the symptoms of a conversion disorder.
D.   Complaints of shortness of breath and diaphoresis may have various causes, including medical conditions. It does not specifically indicate a conversion disorder.

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Correct Answer is A

Explanation

A. Advising the mother to call the police if violent behavior occurs again addresses the safety of the client and others and is a necessary step to ensure appropriate intervention.
B. Referring the mother for psychiatric evaluation is important but may not directly address the immediate safety concern related to the recent violent behavior.
C. Reinforcing the need for the adolescent to attend group therapy sessions is relevant, but the immediate focus should be on addressing the safety issue.
D. Telling the mother to describe her feelings may be helpful for therapeutic communication but may not be the most urgent intervention in response to the reported violent behavior.

A. Ask the client to describe the history of the injuries. B. Invite a colleague to document during the interview. C. Close the examination room door for privacy. D. Request hospital security to come to the department.

Correct Answer is C

Explanation

A. While obtaining the client's history is important, ensuring privacy is a priority to maintain confidentiality and facilitate open communication.
B. Inviting a colleague to document is not the immediate priority; privacy is crucial in the initial stages of the interview.
C. Closing the examination room door for privacy is the most appropriate action to create a confidential and secure environment for the client to discuss their injuries and provide a history.
D. Requesting hospital security is not necessary at this point, as the spouse pacing outside does not necessarily indicate a security threat.

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The charge nurse of the psychiatric unit observes clients in the day area. Which client is exhibiting symptoms of a conversion disorder?

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Correct Answer is A

Explanation

The nurse is initiating an interview with a client in the emergency department who presents with a fractured ulna and swollen, red lips and nose. The client's spouse is pacing outside the door of the examination room. Which action should the nurse take?

Correct Answer is C

Explanation

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