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 don't eat because I do not like the taste of food." Clients with anorexia nervosa typically avoid food due to intense fears of weight gain and body image concerns rather than a dislike for taste. Their restrictive eating is driven by psychological distress rather than a simple aversion to flavor.
B. "I restrict myself to 2,000 calories per day." Individuals with anorexia nervosa usually consume significantly fewer calories than recommended daily amounts. A restriction of 2,000 calories per day is within normal dietary guidelines and does not reflect the extreme caloric limitation seen in this disorder.
C. "I have certain foods, like pizza, that cause me a lot of fear." Clients with anorexia nervosa often develop strong food-related anxieties, especially about high-calorie or "forbidden" foods. Fear of specific foods is a hallmark feature of the disorder, making this the expected statement.
D. "I don't bother to track the number of calories I eat in a week." Individuals with anorexia nervosa are typically obsessive about tracking their calorie intake, often meticulously counting every calorie consumed. This level of control is a defining characteristic of the disorder.

A. Review treatment goals that have been accomplished. B. Introduce the concept of discharge planning. C. Gather data about the client's home situation. D. Provide personal contact information to the client for use in case of emergency.

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.

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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

A nurse is admitting a client who has anorexia nervosa. Which of the following statements should the nurse expect from this client?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

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