A nurse is caring for a client who has factitious disorder. The client states, "I am so tired of living like this. Maybe I should just end it all." Which of the following actions should the nurse take?

Assess the client for suicidal ideation and thoughts of self-harm.

Determine if the client has entered one of their alter personalities.

Encourage the client to use relaxation techniques.

Encourage the client to participate in group therapy sessions.

Answer and Explanation

The Correct Answer is A

A. Assess the client for suicidal ideation and thoughts of self-harm. The client's statement about feeling tired of living and contemplating ending it all indicates a potential risk for suicide. It is essential for the nurse to conduct a thorough assessment of the client’s mental state, including any suicidal thoughts or plans, to ensure their safety.
B. Determine if the client has entered one of their alter personalities. This action is not relevant to factitious disorder, as it involves intentionally producing or feigning symptoms rather than dissociative identity disorder, which features the presence of distinct personality states.
C. Encourage the client to use relaxation techniques. While relaxation techniques can be beneficial for managing stress, they do not address the immediate risk of suicidal ideation and should not be prioritized over a safety assessment.
D. Encourage the client to participate in group therapy sessions. While group therapy can be beneficial, it may not be appropriate to encourage participation until the client's safety is ensured. Assessing for suicidal thoughts takes precedence to address any immediate risk to the client.

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Correct Answer is C

Explanation

A. Request the police to gather evidence of the incident. The SANE is responsible for collecting forensic evidence, not the police. While law enforcement may be involved, the SANE conducts the medical forensic examination and ensures evidence is properly documented and preserved.
B. Provide legal testimony on behalf of the client. The SANE can provide expert testimony regarding the forensic examination and findings but does not act as a legal representative for the client. Their role is primarily medical and forensic rather than legal advocacy.
C. Protect the client from further harm. A key responsibility of the SANE is ensuring the client’s immediate safety and well-being. This includes offering medical care, emotional support, and referrals to crisis resources while maintaining a trauma-informed approach.
D. Require the client to call the police. The decision to report the assault to law enforcement is the client’s choice. The SANE provides information about reporting options but does not force or require the client to involve the police.

A. Withdrawn B. Multiple hospitalizations C. Unexplained abdominal pain D. Excessive thinking about health E. Recent trauma

Correct Answer is ["A","B","C","D"]

Explanation

A. Withdrawn: The child's withdrawn behavior, such as looking downcast and avoiding eye contact, may indicate emotional distress or a potential psychological issue, which can be associated with factitious disorder. Individuals with factitious disorder may exhibit emotional signs that reflect their internal struggles and manipulation of health-related situations.
B. Multiple hospitalizations: Frequent hospitalizations, especially without a clear medical diagnosis, can suggest factitious disorder. This pattern often reflects a behavior where an individual seeks medical attention and care, indicating a need to assume the sick role.
C. Unexplained abdominal pain: The presence of unexplained abdominal pain, particularly when combined with a history of seeking medical attention, aligns with factitious disorder. In this condition, individuals often feign or produce symptoms for psychological reasons, leading to repeated medical evaluations without a clear medical basis.
D. Excessive thinking about health: An intense preoccupation with health issues can be indicative of factitious disorder. This behavior demonstrates a focus on illness that may lead to manipulative behaviors in seeking attention or care.
E. Recent trauma: While trauma can contribute to various psychological conditions, it is not specifically indicative of factitious disorder. Many individuals may experience trauma without developing this disorder, making it less relevant in this context.

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A nurse is caring for a client who has factitious disorder. The client states, "I am so tired of living like this. Maybe I should just end it all." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is ["A","B","C","D"]

Explanation

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