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.
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Related Questions
Correct Answer is D
Explanation
D. It emphasizes the importance of addressing the client's immediate emotional and psychological needs. Reassurance and comfort can help alleviate the client's distress and promote a sense of security, which is essential for their well-being.
A. Participation in group activities may be beneficial for some clients with schizophrenia but it is not the priority when the client is experiencing confusion and distortions in thinking.
B. Medication management is an important aspect of caring for clients with schizophrenia. However, the decision to administer PRN medications should be based on a comprehensive assessment of the client's symptoms and needs.
C. Distraction techniques may be helpful for managing symptoms of anxiety or agitation in some clients, but they are not the priority.
Correct Answer is B
Explanation
B. Mental illnesses are primarily diagnosed through clinical assessments, interviews, and observation of symptoms by mental health professionals. While laboratory tests may be used to rule out other medical conditions that could mimic psychiatric symptoms or to monitor the effects of medication, they are not typically used as primary screening tools for mental illness.
A. Regular physical examinations are important for overall health and may help identify physical conditions that could contribute to or coexist with mental health symptoms. However, physical examinations alone are not sufficient for diagnosing mental illness.
C. There are known risk factors associated with the development of various mental health conditions.
D. There are no specific blood tests that can definitively diagnose most mental health disorders. Blood tests may be used to rule out physical conditions that could be contributing to symptoms or to monitor medication levels, but they are not direct diagnostic tools for mental illness.
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