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 D

Explanation

A. Self-absorption refers to excessive focus on oneself, which is not the primary issue described in this scenario.
B. Self-actualization involves realizing one's potential and may not be the immediate concern for a person dealing with trauma.
C. Self-control relates to managing one's impulses and behavior, which may not be the primary issue in this context.
D. Self-esteem is the concept most closely related to feelings of self-blame and is a common struggle for individuals who have experienced trauma. The client is grappling with self-worth and blaming herself for not taking precautions.

A. Level of activity. B. The interactions with others. C. The emotional quality of attitude. D. Appetite.

Correct Answer is C

Explanation

A. Level of activity, interactions with others, and appetite are important aspects, but the emotional quality of attitude is central in assessing the effectiveness of an antidepressant.
Changes in mood and affect are critical indicators of the drug's impact on the client's mental health.
B. Interactions with others provide valuable information but may not capture the internal emotional experience of the client.
C. The emotional quality of attitude reflects the client's internal state and is a key indicator of the antidepressant's impact on their depressive symptoms.
D. Appetite is a relevant aspect, but it may not be as direct an indicator of the antidepressant's efficacy as changes in the emotional quality of attitude.

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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 D

Explanation

An adolescent who is exhibiting a depressed affect receives a prescription for an antidepressant drug. While the client is taking the antidepressant, which comparison of the client’s behavior before and after taking the drug is most important for the nurse to obtain?

Correct Answer is C

Explanation

Which interventions should the nurse include in the plan of care for an adolescent who is depressed? (Select all that apply.)

A client who is admitted with a closed head injury after a fall has a blood alcohol level (BAL) of 0.28 (28%) and is difficult to arouse. Which intervention during the first 6 hours following admission should the nurse identify as the priority?

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