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 B

Explanation

A. Clients who have somatic symptom disorder exhibit more than one personality. Somatic symptom disorder is characterized by the presence of physical symptoms that cause significant distress or impairment, but it does not involve multiple personalities. This concept is more relevant to dissociative identity disorder.
B. Somatic symptom disorder impacts more women than men. Research indicates that somatic symptom disorder is more prevalent in women, making this information accurate. Women are more likely to report physical symptoms and seek medical help for them.
C. Somatic symptom disorder impacts the majority of clients who have depression. While there is a notable overlap between somatic symptom disorder and depression, it is not accurate to say that most clients with depression have somatic symptom disorder. The relationship is complex and varies among individuals.
D. Clients who have this disorder are intentionally faking their symptoms. Individuals with somatic symptom disorder genuinely experience distress related to their symptoms. Unlike factitious disorder, where symptoms are intentionally produced, clients with somatic symptom disorder do not intentionally fake their symptoms.

A. Neglect B. Emotional C. Physical D. Economic

Correct Answer is D

Explanation

A. Neglect. Neglect involves failing to provide essential care, such as food, medication, or hygiene, leading to harm or risk of harm. In this case, the issue is financial exploitation rather than neglect.
B. Emotional. Emotional abuse includes verbal threats, humiliation, intimidation, or psychological manipulation. While financial exploitation can cause emotional distress, the primary concern in this scenario is unauthorized financial activity.
C. Physical. Physical abuse involves the infliction of bodily harm, such as hitting, pushing, or restraining. There is no indication that the client has suffered physical injury or assault.
D. Economic. Economic (or financial) abuse occurs when a caregiver misuses or exploits an older adult’s financial resources without consent. Writing checks in the client’s name without permission is a clear example of financial exploitation.

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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 community health nurse is presenting epidemiological and etiological data related to somatic symptom disorder and related disorders. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for an older adult client who reports their caregiver has been writing checks in their name without their consent. Which of the following types of abuse is the client experiencing?

Correct Answer is D

Explanation

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