A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?

"Clients who have this disorder consciously control the manifestations."

"Clients who have this disorder exhibit more than one personality."

"Feeling outside of one's body is a primary manifestation of this disorder."

"The manifestations of this disorder are worse during times of increased stress."

Answer and Explanation

The Correct Answer is D

A. "Clients who have this disorder consciously control the manifestations." Functional neurological symptom disorder (formerly conversion disorder) involves involuntary neurological symptoms, such as paralysis, blindness, or seizures, that lack a medical explanation. Clients do not consciously produce or control these symptoms.
B. "Clients who have this disorder exhibit more than one personality." Multiple personalities are characteristic of dissociative identity disorder (DID), not functional neurological symptom disorder. Clients with functional neurological symptom disorder experience physical symptoms, not identity fragmentation.
C. "Feeling outside of one's body is a primary manifestation of this disorder." Feeling detached from one's body, known as depersonalization, is a symptom of depersonalization/derealization disorder. Functional neurological symptom disorder primarily involves physical, rather than perceptual, disturbances.
D. "The manifestations of this disorder are worse during times of increased stress." Symptoms of functional neurological symptom disorder often intensify during emotional or psychological stress. Stress-related factors contribute to the onset or worsening of symptoms, making stress management a key part of treatment.

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Correct Answer is A

Explanation

A. Review treatment goals that have been accomplished. In the termination phase of the nurse-client relationship, it is essential to evaluate and review the progress made towards the treatment goals. This helps reinforce the client's achievements and prepares them for future independence.
B. Introduce the concept of discharge planning. While discharge planning is important, it is typically discussed earlier in the nursing process rather than during the termination phase. By this point, the client should already be aware of their discharge plans.
C. Gather data about the client's home situation. This action is more appropriate during the initial assessment phase or when planning care, rather than during termination. The focus should be on reflecting on progress and preparing for discharge.
D. Provide personal contact information to the client for use in case of emergency. This is not appropriate in the termination phase, as it can blur professional boundaries and may not adhere to nursing ethical standards. Instead, referrals to appropriate resources should be provided.

A. Inform the client that the pain is not real. B. Provide reassurance to the client. C. Encourage the client to request invasive cardiac testing. D. Refer the client for flooding therapy.

Correct Answer is B

Explanation

A. Inform the client that the pain is not real. Clients with somatic symptom disorder experience genuine distress, even if their symptoms lack a medical explanation. Dismissing their pain as "not real" can damage trust and discourage them from seeking appropriate care.
B. Provide reassurance to the client. Reassurance helps reduce anxiety and reinforces that the symptoms are not life-threatening. The nurse should validate the client’s feelings while gently redirecting their focus to coping strategies and stress management techniques.
C. Encourage the client to request invasive cardiac testing. Since the client has no cardiac risk factors and all test results are normal, unnecessary invasive procedures are not warranted. Encouraging further testing could reinforce the client’s health anxieties rather than helping manage their symptoms.
D. Refer the client for flooding therapy. Flooding therapy is an exposure-based treatment used for phobias and post-traumatic stress disorder (PTSD). It is not an appropriate intervention for somatic symptom disorder, which requires cognitive-behavioral therapy (CBT) and supportive reassurance.

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A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is B

Explanation

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