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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Acute toxicity to sedatives, especially at high doses, can lead to various central nervous system effects, including severe hallucinations. Hallucinations can involve distorted perceptions of sensory experiences, such as seeing, hearing, or feeling things that are not present. These hallucinations may be vivid, intense, and disturbing, especially during acute intoxication.
B. Negative symptoms are more commonly associated with chronic psychotic disorders like schizophrenia rather than acute toxic reactions.
C. Prolonged hallucinations are less characteristic of acute toxicity and are more commonly seen in conditions like schizophrenia or certain drug-induced psychotic disorders.
D. Prolonged delusions typically characterize chronic psychotic disorders rather than acute toxic reactions.
Correct Answer is D
Explanation
D. The immune system plays a crucial role in the body's response to infections and inflammation. Research suggests that dysregulation of the immune system, including chronic inflammation and autoimmune disorders, may contribute to the development or exacerbation of certain mental health disorders.
A. Adverse effects of treatment for mental health disorders can impact the client's well-being and quality of life but they are not typically considered risk factors for developing mental illness. B Medication adherence refers to the extent to which a client follows the prescribed treatment regimen. Poor adherence does not increase the risk for mental illness
C. Allergic reactions primarily affect the respiratory or immune systems and are not typically linked to mental health outcomes.
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