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 C

Explanation

A. "I'm going to ignore your lack of self-care because it is an aspect of the disorder." Ignoring the client’s hygiene neglect does not support their well-being or promote self-care. While poor self-care is a symptom of schizophrenia, the nurse should encourage hygiene rather than dismiss it.
B. "Do you really think it is ok not to bathe? What is going on with you?" This confrontational statement may make the client feel judged or defensive, potentially worsening their resistance to self-care. Clients with schizophrenia may have impaired insight and motivation, making supportive guidance more effective.
C. "It is now time for you to bathe. Do you want to wear the red or green shirt?" Providing a structured directive while offering a simple choice promotes autonomy and encourages adherence to hygiene. Clients with schizophrenia benefit from clear instructions and limited choices, reducing decision-making stress and increasing cooperation.
D. "This is it! You are getting a bath! There are three of us here to bathe you!" Using forceful or coercive language can cause distress and escalate resistance. Encouraging hygiene should be done through therapeutic communication and gentle prompts rather than threats or intimidation.

A. Request the police to gather evidence of the incident. B. Provide legal testimony on behalf of the client. C. Protect the client from further harm. D. Require the client to call the police.

Correct Answer is C

Explanation

A. Request the police to gather evidence of the incident. The SANE is responsible for collecting forensic evidence, not the police. While law enforcement may be involved, the SANE conducts the medical forensic examination and ensures evidence is properly documented and preserved.
B. Provide legal testimony on behalf of the client. The SANE can provide expert testimony regarding the forensic examination and findings but does not act as a legal representative for the client. Their role is primarily medical and forensic rather than legal advocacy.
C. Protect the client from further harm. A key responsibility of the SANE is ensuring the client’s immediate safety and well-being. This includes offering medical care, emotional support, and referrals to crisis resources while maintaining a trauma-informed approach.
D. Require the client to call the police. The decision to report the assault to law enforcement is the client’s choice. The SANE provides information about reporting options but does not force or require the client to involve the police.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed. Which of the following statements should the nurse make to the client?

Correct Answer is C

Explanation

A nurse is assisting a sexual assault nurse examiner (SANE) with the care of a client who has experienced sexual assault. The nurse should identify which of the following as the role of the SANE?

Correct Answer is C

Explanation

A nurse is caring for a client who has schizophrenia and has been taking a first generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?

A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?

A nurse is caring for a client who is crying and states they are depressed and feel like they are "going crazy." Which of the following client statements indicates the client is experiencing emotional abuse? (Select All that Apply.)

A nurse is reinforcing teaching with a client who has an eating disorder about mindfulness and distress tolerance skills. This is an example of which of the following treatment modalities?

A nurse is caring for a client who has binge-eating disorder. Which of the following actions should the nurse plan to take during the termination phase of the nurse-client relationship?

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?