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 A

Explanation

A. Families where caregivers have higher levels of education, such as college degrees or higher, tend to have more access to resources, support networks, and knowledge about child development and parenting practices. This can contribute to a more stable and nurturing environment for children, reducing the likelihood of adverse childhood experiences.

B. This option describes a lack of emotional support and connection within the family, which is considered a risk factor rather than a protective factor for adverse childhood experiences.

C. Social isolation can contribute to increased stress and lack of support for both children and caregivers, which may exacerbate the impact of adverse childhood experiences.

D. While single parenthood or having young caregivers may present additional challenges, it is not inherently a risk factor for adverse childhood experiences.

A. The importance of routine red blood cell count laboratory work when taking an antipsychotic B. The importance of limiting fluid intake when taking an antipsychotic C. The importance of avoiding foods that contain tyramine when taking an antipsychotic D. The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic

Correct Answer is D

Explanation

A. One of the most significant potential side effects of clozapine is agranulocytosis, a severe decrease in the number of white blood cells not red blood cells, particularly neutrophils.

B. Limiting fluid intake is not typically a specific concern associated with clozapine.

C. Clozapine is not known to have significant interactions with tyramine-rich foods

D. Medication adherence is a key component in clients on clozapine to prevent acute psychotic episodes.

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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 is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?

Correct Answer is A

Explanation

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?

Correct Answer is D

Explanation

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 has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?

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 on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?

A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?

A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

A nurse is caring for a client who has ADHD. Which of the following findings should the nurse expect to observe?