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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Cockroach allergens are common triggers for asthma and allergic reactions in susceptible individuals. Cockroach droppings, saliva, and decomposing body parts contain allergenic proteins that can become airborne and trigger respiratory symptoms such as wheezing, coughing, and shortness of breath in individuals with asthma or allergies.

B. Mold can also trigger an allergic reaction in susceptible individuals but not as significant as cockroach allergens.

C. Hepatitis B is a viral infection that primarily affects the liver and is not directly related to asthma or allergies

D. Radon exposure it is not directly related to asthma or allergies.

A. Severe hallucinations B. Negative symptoms of psychosis C. Prolonged hallucinations D. Prolonged delusions

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.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

Correct Answer is A

Explanation

A nurse is caring for a client who asks the nurse, "May I please have your home address so that I can send you a note after I get home?" Which of the following responses should the nurse give?

A nurse is caring for a client who screams, "I can read your minds! The nurse should identify this finding as a manifestation of which of the following personality disorders?

A nurse is providing dietary teaching to a client who has been diagnosed with Alzheimer's disease about including foods to decrease the progression of the disease. Which of the following foods should the nurse recommend?

A nurse is providing care for a client who has schizophrenia. The client is unemployed and unhoused. Which of the following concepts regarding themselves should the nurse be aware of?

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 avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?

A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks. "How is nursing care different for children diagnosed with dissociative Identity disorder compared to adults?" How should the nurse best respond?

A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?