A nurse is caring for a client who states. "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?

Factitious disorder

Dissociative amnesia

Depersonalization/derealization disorder

Functional neurological symptom disorder

Answer and Explanation

The Correct Answer is D

D. FNSD involves neurological symptoms that cannot be explained by a medical or neurological condition but are believed to be related to psychological factors. In this case, the client's symptoms of numbness are likely somatic manifestations of underlying psychological distress or conflict.

A. Factitious disorder involves intentionally producing or feigning physical or psychological symptoms for the purpose of assuming the sick role.

B. Dissociative amnesia involves memory loss that is not attributable to neurological conditions or substance use and is often associated with stressful or traumatic events.

C. Depersonalization/derealization disorder involves experiences of detachment from oneself or one's surroundings.

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Correct Answer is B

Explanation

B Illness anxiety disorder (formerly known as hypochondriasis) is a mental health condition characterized by excessive worry or fear about having a serious illness, despite having little or no medical evidence to support the presence of the illness.

A. The focus in somatic symptom disorder is on the physical symptoms themselves rather than the fear of having a serious illness.

C. Individuals with factitious disorder may feign symptoms, manipulate test results, or induce illness in themselves to gain attention or care from healthcare providers.

D. The primary characteristic of functional neurological symptom disorder is the presence of neurological symptoms rather than excessive fear of illness or body checking behaviors.

A. "A relapse plan addresses your living, housing, and working needs." B. "A relapse plan describes how you use coping strategies for living in the community." C. "A relapse plan explains how you can be hospitalized if needed." D. "A relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse."

Correct Answer is D

Explanation

D. A relapse plan is an essential component of managing schizophrenia and other mental health conditions. It helps individuals recognize early warning signs of a potential relapse and outlines steps to take to prevent or mitigate the worsening of symptoms. By having a relapse plan in place, the client can actively participate in their own recovery process and take proactive steps to maintain stability and well-being.

A. This response focuses on practical aspects such as living arrangements and employment, which may be components of a comprehensive care plan but may not fully address the client's question about the need for a relapse plan.

B. This response acknowledges the purpose of a relapse plan in helping the client manage their symptoms and cope with challenges while living in the community. However, it may not fully address the client's question about the need for a relapse plan.

C. While hospitalization may be a component of a relapse plan in certain circumstances, focusing solely on this aspect may not fully address the client's question and may inadvertently increase anxiety or stigma associated with hospitalization.

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A nurse is caring for a client who states. "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?

Correct Answer is B

Explanation

A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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