A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?

Illness anxiety disorder

Functional neurological symptom disorder

Dissociative amnesia

Factitious disorder

Answer and Explanation

The Correct Answer is D

D. Factitious disorder, also known as Munchausen syndrome, is a mental health condition characterized by a pattern of behavior in which an individual deliberately fabricates, exaggerates, or induces physical or psychological symptoms in themselves to assume the role of a patient.

A. This disorder involves preoccupation with having or acquiring a serious illness despite minimal or no somatic symptoms.

B. This disorder involves the presence of neurological symptoms that are incompatible with known neurological conditions and cannot be explained by another medical or mental disorder. C Dissociative amnesia involves the inability to recall important personal information, often related to traumatic or stressful events.

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Correct Answer is C

Explanation

C. This response politely declines the client's request while explaining the reason behind it, which is hospital policy. It maintains professionalism and boundaries.

A nurses should not provide their home address to clients, as it can compromise their privacy and potentially lead to boundary violations or safety concerns.

B. It is important for the nurse to respond to the client's request for personal information in a professional and appropriate manner.

D. It is important for nurses to communicate boundaries firmly but respectfully, without causing unnecessary distress to the client.

A. "Adhering to a medication regimen will likely cure mental illness." B. "It's uncommon to experience manifestations after a few days of medication treatment." C. "The willpower of the client determines manifestations remission." D. "The brain's ability to adapt is very Individual and plays a role in symptom severity."

Correct Answer is D

Explanation

D. Mental illness is complex and multifactorial, and the response to medication can vary widely among individuals. While medication can be effective in alleviating symptoms for many people, factors such as genetic predisposition, neurobiological differences, environmental influences, and individual variability in brain function and structure can all impact treatment response.

A. While medication adherence is important for managing mental illness, it is rarely a cure on its own. Mental illness often requires ongoing treatment and management.

B. Some individuals may experience rapid improvement with medication, while others may take longer to see results or may require adjustments to their treatment plan.

C. Mental illness is not solely determined by willpower, and implying that it is oversimplifies the complex nature of these conditions.

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A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who asks the nurse, "May I please have your home address so that I can send you a note after I get home?" Which of the following responses should the nurse give?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?

A nurse is providing care to a client is who is recovering from an episode of dissociative amnesia. The nurse should expect the client to exhibit which of the following manifestations?

A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?

A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?

A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?

A nurse is presenting an in-service about the cycle of violence to nursing staff. The nurse should include that which of the following occurs during phase 1 of the cycle of violence?

A community health nurse is preparing an educational activity that addresses the domains of learning. The nurse should know that the affective domain focuses on which of the following?