The nurse is caring for a client who lost the ability to use their arm. All tests have ruled out any medical diagnosis. The nurse understands that the loss of use of the arm is a symptom of:
avoidance.
obsessive-compulsive disorder.
a conversion disorder.
a fracture.
The Correct Answer is C
a. Avoidance: Avoidance is a coping mechanism, not a symptom itself.
b. Obsessive-compulsive disorder (OCD): OCD involves intrusive thoughts and repetitive behaviours, not physical symptoms like limb weakness.
c. a conversion disorder: Conversion disorder is a psychological condition where emotional distress manifests as physical symptoms, like limb weakness, with no medical explanation.
d. A fracture: A fracture is a physical injury with a demonstrable cause, unlike the unexplained weakness in conversion disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. While taking slow, deep breaths can help with relaxation and possibly with managing anxiety or panic attacks, it is not directly addressing the combined side effects of these medications.
b. Wearing sunscreen and avoiding midday sun exposure is important to prevent photosensitivity reactions caused by some antipsychotics, but it is not related to the combined effects of antipsychotics and beta-blockers.
c. Watching diet and engaging in physical activity are generally good health practices but do not specifically address the combined side effects of these medications.
d. "Rise slowly when you change position from lying to sitting or sitting to standing." Both antipsychotics and beta-adrenergic blocking agents can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. This can lead to dizziness, lightheadedness, or even fainting. Advising the client to rise slowly helps to prevent these effects and ensures the client’s safety
Correct Answer is B
Explanation
a. question the client about choices: This might seem confrontational and does not directly help the client with stressors.
b. explore problem-solving alternatives. This is the most therapeutic purpose. Providing feedback helps the client to consider different ways to address and manage their stressors.
c. express approval or disapproval of the client's thoughts: Expressing approval or disapproval is not therapeutic and can inhibit open communication.
d. give the client good advice: Giving advice is not as effective as helping the client develop their own problem-solving skills.
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