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
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
A. Late-onset schizophrenia typically presents with symptoms such as hallucinations, delusions, disorganized thinking, and social withdrawal. However, this does not differentiate it from typical schizophrenia.
B. Substance use, including cannabis use, is a known risk factor for the development of schizophrenia, particularly in individuals who are genetically predisposed to the disorder. However, cannabis use as a teenager alone does not necessarily indicate late-onset schizophrenia.
C. Paraphrenia or late onset schizophrenia generally occurs later in life and symptoms persist and intensify as the client ages. Schizophrenia is rarely diagnosed after the age of 40 and is considered late onset if diagnosed after the age of 40.
D. Family history of psychosis or schizophrenia is a significant risk factor for developing schizophrenia, including late-onset schizophrenia. However, having a family member who mirrors the client's behaviors of psychosis is not a specific finding indicative of late-onset schizophrenia.
Correct Answer is C
Explanation
C. Schizotypal personality disorder is characterized by eccentric behavior, odd beliefs or magical thinking, unusual perceptual experiences, and social and interpersonal deficits. Individuals with this disorder may exhibit peculiar or paranoid beliefs, such as believing they have special powers or abilities like mind-reading, as described in the scenario.
A. Antisocial personality disorder is characterized by a pervasive pattern of disregard for and violation of the rights of others. Individuals with this disorder may engage in behaviors such as deceitfulness, impulsivity, aggression, and lack of remorse.
B. Paranoid personality disorder is characterized by a pervasive distrust and suspicion of others, leading to interpersonal difficulties and a heightened sense of threat or persecution.
D. Avoidant personality disorder is characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, leading to avoidance of social interactions and situations.
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