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 D

Explanation

D. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) antidepressant commonly used in the treatment of anxiety disorders, including illness anxiety disorder (formerly known as hypochondriasis). It helps alleviate symptoms by increasing serotonin levels in the brain, which can improve mood and reduce anxiety.

A. Carbamazepine is an anticonvulsant medication primarily used in the treatment of seizure disorders, bipolar disorder, and certain types of neuropathic pain. It is not typically used as a first-line treatment for illness anxiety disorder.

B. Haloperidol is a first-generation antipsychotic medication used in the treatment of schizophrenia, psychotic disorders, and severe agitation. It is not typically used as a first-line treatment for illness anxiety disorder,

C. Olanzapine is a second-generation antipsychotic medication used in the treatment of schizophrenia, bipolar disorder, and certain types of depression. Like haloperidol, it is not typically used as a first-line treatment for illness anxiety disorder

A. Bone loss and osteoporosis B. B.rain trauma and injury C. Heart disease and stroke D. Liver and pancreatic disease

Correct Answer is C

Explanation

C. Methamphetamine use can lead to vasoconstriction and increased blood pressure, which significantly elevate the risk of cardiovascular complications such as heart disease and stroke. The drug's stimulant effects can cause persistent high blood pressure, irregular heart rhythms, inflammation of blood vessels, and damage to the heart muscle.

A, B, D- Methamphetamine have no direct effect on bones health, brain, liver or the pancreas

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has illness anxiety disorder. Which of the following medications should the nurse expect the provider to prescribe?

Correct Answer is D

Explanation

A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identity that the client is at high risk for developing which of the following conditions?

Correct Answer is C

Explanation

A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?

A nurse is preparing a presentation about strategies to decrease health care disparities among vulnerable groups. Which of the following strategies should the nurse include?

A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti- psychotic medication use would be expected for the client?

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 observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

A nurse is educating a group of clients about addiction. The nurse should include that which of the following factors increases the potential for addiction?

A nurse is planning care for clients who are members of vulnerable populations. Which of the following core function assurance actions should the nurse take first?

A nurse is preparing a presentation about alcohol withdrawal. Which of the following findings should the nurse include in the presentation?