A nurse is caring for a school-age client in an outpatient clinic.

Exhibits

The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)

Withdrawn

Multiple hospitalizations

Unexplained abdominal pain

Excessive thinking about health

Recent trauma

Answer and Explanation

Correct Answer : A,B,C,D

A. Withdrawn: The child's withdrawn behavior, such as looking downcast and avoiding eye contact, may indicate emotional distress or a potential psychological issue, which can be associated with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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Correct Answer is A

Explanation

A. Guilt. Clients recovering from dissociative amnesia may experience feelings of guilt related to the events they cannot remember or the circumstances that led to their dissociative episode. This emotional response is common as they process their experiences.
B. Anhedonia. While anhedonia, or the inability to experience pleasure, can occur in various mental health conditions, it is not a primary manifestation of dissociative amnesia. Clients may experience emotional distress but not specifically anhedonia.
C. Hallucinations. Hallucinations are not typical manifestations of dissociative amnesia. This disorder primarily involves memory loss rather than perceptual disturbances. Hallucinations are more commonly associated with psychotic disorders.
D. Delusions. Delusions involve firmly held false beliefs that are inconsistent with reality. These are not characteristic of dissociative amnesia, which focuses on memory disruption rather than the presence of delusional thinking.

A. Clients who have somatic symptom disorder exhibit more than one personality. B. Somatic symptom disorder impacts more women than men. C. Somatic symptom disorder impacts the majority of clients who have depression. D. Clients who have this disorder are intentionally faking their symptoms.

Correct Answer is B

Explanation

A. Clients who have somatic symptom disorder exhibit more than one personality. Somatic symptom disorder is characterized by the presence of physical symptoms that cause significant distress or impairment, but it does not involve multiple personalities. This concept is more relevant to dissociative identity disorder.
B. Somatic symptom disorder impacts more women than men. Research indicates that somatic symptom disorder is more prevalent in women, making this information accurate. Women are more likely to report physical symptoms and seek medical help for them.
C. Somatic symptom disorder impacts the majority of clients who have depression. While there is a notable overlap between somatic symptom disorder and depression, it is not accurate to say that most clients with depression have somatic symptom disorder. The relationship is complex and varies among individuals.
D. Clients who have this disorder are intentionally faking their symptoms. Individuals with somatic symptom disorder genuinely experience distress related to their symptoms. Unlike factitious disorder, where symptoms are intentionally produced, clients with somatic symptom disorder do not intentionally fake their symptoms.

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A nurse is caring for a school-age client in an outpatient clinic. Exhibits The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a school-age client in an outpatient clinic.

Exhibits

The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)