A nurse is reviewing the medical record of a client who reports severe pain in their head and abdomen. The client's blood toxicology test reveals ingestion of a common insect poison. The client states. "I like to feel like I am the center of a TV show medical drama. That is why I took the poison." The client denies suicidal intent or ideation. Which of the following disorders best describes the client's condition?

Functional neurological symptom disorder

Factitious disorder

illness anxiety disorder

Somatic symptom disorder

Answer and Explanation

The Correct Answer is B

B. Factitious disorder involves feigning or inducing physical or psychological symptoms in oneself to assume the sick role and receive attention or care, often from medical professionals.

A. Functional neurological symptom disorder (previously known as conversion disorder) involves the presence of neurological symptoms that are inconsistent with known neurological conditions or diseases.

C. The primary focus in illness anxiety disorder is on the fear of having an illness rather than deliberate fabrication of symptoms.

D. The focus in somatic symptom disorder is on the physical symptoms themselves rather than deliberate fabrication or exaggeration of illness.

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Correct Answer is C

Explanation

C. Psychiatric pharmacogenomic testing involves analyzing an individual's genetic makeup to predict their response to psychiatric medications. This testing provides healthcare providers with information about how an individual's genetic variations may impact their metabolism of medications.

A. Psychiatric pharmacogenomic testing can inform treatment decisions but it does not determine the likelihood of a cure. Mental illness is complex and often requires multimodal treatment approaches beyond medication alone.

B. Pharmacogenomic testing can provide information about how an individual's genetics may interact with specific medications but it primarily focuses on identifying which medications are likely to be most effective for the individual, rather than interactions between medications.

D. Psychiatric pharmacogenomic testing does not determine the cause of mental illness. Mental illnesses are multifactorial and have complex etiologies involving genetic, biological, environmental, and psychosocial factors.

A. "Individuals with somatic symptom disorder experience real physical effects, but these manifestations are due to emotional causes rather than physical ones." B. "Somatic symptom disorder is characterized by suicidal ideations or thoughts of death. C. Individuals may intentionally make up the symptoms they are experiencing. D. There are limited effective treatment options for this disorder."

Correct Answer is A

Explanation

A. This statement accurately describes a key aspect of somatic symptom disorder. Individuals with this disorder experience real physical symptoms, but these symptoms are primarily driven by psychological or emotional factors rather than underlying physical causes.

B. Suicidal ideation is not a defining characteristic of the disorder. Somatic symptom disorder primarily involves persistent and distressing physical symptoms along with excessive thoughts, feelings, or behaviors related to those symptoms.

C. Somatic symptom disorder is not characterized by malingering or intentionally fabricating symptoms. Individuals with this disorder genuinely experience physical symptoms that cause distress and impairment

D. There are effective treatment approaches available, including cognitive-behavioral therapy (CBT), psychotropic medications for co-occurring conditions such as depression or anxiety, and supportive therapies that address underlying psychological factors

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a newly licensed nurse about psychiatric pharmacogenomic testing. Which of the following statements by the newly licensed nurse Indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is providing education about somatic symptom disorder to a client's family. Which of the following pieces of information should the nurse include in the education?

Correct Answer is A

Explanation

A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?

A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?

A nurse is teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?

A nurse is caring for a client who is inquiring about the use of herbal remedies in treating manifestations of mental illness. Which of the following topics should the nurse prepare to discuss with the client?

A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?