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."
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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Related Questions
Correct Answer is B
Explanation
A. Diagnosis typically occurs after 40 years of age. This statement is inaccurate; schizophrenia most commonly manifests in late adolescence to early adulthood, typically between the ages of 18 and 30.
B. The need for resources increases as the disease progresses into adulthood. As schizophrenia progresses, individuals often require additional support and resources, including therapy, medication management, and community services, to manage symptoms and improve functioning.
C. Co-occurring mental health illnesses are rarely diagnosed. This statement is not accurate; individuals with schizophrenia often have co-occurring mental health disorders, such as depression, anxiety, or substance use disorders, which can complicate treatment and management.
D. Life expectancy is greater than the general population. This statement is incorrect; individuals with schizophrenia generally have a reduced life expectancy compared to the general population, often due to factors such as higher rates of comorbid conditions, lifestyle factors, and suicide risk.
Correct Answer is D
Explanation
A. Insist the client report the incident. While reporting the incident may be important, it is not appropriate to insist that the client do so, as this can create additional pressure and may lead to feelings of coercion. The client should be allowed to make their own choices regarding reporting.
B. Touch the client for reassurance. Touching the client without their consent can be intrusive and may not be welcome, especially after a trauma. It's essential to respect the client's personal space and boundaries.
C. Ask the client a series of questions about who assaulted them. While gathering information may be necessary, bombarding the client with questions immediately after a traumatic event can be overwhelming. It’s better to allow the client to share information at their own pace.
D. Allow the client to control the conversation. Empowering the client to control the discussion fosters a sense of safety and autonomy. It allows them to share their feelings and experiences when they feel ready, which is crucial for their emotional healing after an assault.
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