A nurse is providing care to a client who was admitted to the emergency department with superficial lacerations on their leg. The client states, "I was feeling bored, so I used a pair of gardening scissors to cut myself." The client denies current depression and suicidal thoughts. The client is demonstrating manifestations of which of the following disorders?

Somatic symptom disorder

Illness anxiety disorder

Factitious disorder

Functional neurological symptom disorder

Answer and Explanation

The Correct Answer is C

A. Somatic symptom disorder. This disorder involves experiencing physical symptoms that cause significant distress or impairment, typically related to an underlying medical condition. The client’s actions do not reflect a focus on physical symptoms for relief of anxiety or distress in the same way.
B. Illness anxiety disorder. This disorder is characterized by excessive worry about having a serious illness despite minimal or no symptoms. The client’s behavior of intentionally cutting themselves does not align with this disorder, as there is no indication of anxiety over illness.
C. Factitious disorder. This disorder involves intentionally producing or feigning symptoms for the purpose of assuming the sick role, without external incentives. The client’s admission of boredom as the reason for self-harm indicates an intent to create a situation for attention or care, aligning with factitious disorder.
D. Functional neurological symptom disorder. This condition involves neurological symptoms that cannot be explained by medical findings, often presenting as involuntary symptoms. The client’s self-inflicted injuries are not indicative of this disorder, as they intentionally engaged in self-harm.

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Correct Answer is A

Explanation

A. Dialectical behavior therapy. Dialectical behavior therapy (DBT) focuses on mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. It is particularly effective for individuals with eating disorders, borderline personality disorder, and self-destructive behaviors, helping clients cope with distress without engaging in harmful behaviors.
B. Interpersonal therapy. Interpersonal therapy (IPT) primarily addresses relationship issues and social functioning rather than specific coping strategies like mindfulness or distress tolerance. While helpful for depression and some eating disorders, it does not emphasize the skills being taught in this scenario.
C. Humanistic therapy. Humanistic therapy focuses on self-actualization, personal growth, and self-exploration rather than structured skills training. It is centered on the client’s perspective and emotional experience rather than behavioral coping techniques.
D. Cognitive therapy. Cognitive therapy targets maladaptive thought patterns by helping clients identify and reframe distorted thinking. While useful in treating eating disorders, it does not specifically focus on mindfulness or distress tolerance skills, which are key components of DBT.

A. Request the police to gather evidence of the incident. B. Provide legal testimony on behalf of the client. C. Protect the client from further harm. D. Require the client to call the police.

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.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has an eating disorder about mindfulness and distress tolerance skills. This is an example of which of the following treatment modalities?

Correct Answer is A

Explanation

A nurse is assisting a sexual assault nurse examiner (SANE) with the care of a client who has experienced sexual assault. The nurse should identify which of the following as the role of the SANE?

Correct Answer is C

Explanation

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

A nurse is providing information regarding the social determinants of mental health and persons with serious mental illnesses (SMI). Which of the following pieces of information should the nurse share during the presentation?

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?

A nurse is reviewing treatment options for a client who has functional neurological symptom disorder. Which of the following treatments should the nurse identify as being most effective for this disorder?

A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

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 schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?