A nurse is reviewing treatment options for a client who has functional neurological symptom disorder. Which of the following treatments should the nurse identify as being most effective for this disorder?

Systematic desensitization

Daily benzodiazepines to prevent new symptoms.

Daily physical therapy

A combination of medication and psychotherapy

Answer and Explanation

The Correct Answer is D

A. Systematic desensitization. This therapeutic approach is primarily used for anxiety disorders and phobias, not specifically for functional neurological symptom disorder. It may not directly address the complexities of the symptoms associated with this disorder.
B. Daily benzodiazepines to prevent new symptoms. Benzodiazepines are generally not the first-line treatment for functional neurological symptom disorder. While they may provide short-term relief for anxiety, they do not address the underlying issues related to functional symptoms and can lead to dependency.
C. Daily physical therapy. While physical therapy can be a component of treatment for functional neurological symptom disorder, focusing solely on physical therapy may not address the psychological factors that contribute to the disorder.
D. A combination of medication and psychotherapy. This approach is recognized as the most effective treatment for functional neurological symptom disorder. Psychotherapy, particularly cognitive-behavioral therapy (CBT), can help address the psychological aspects of the disorder, while medication may be used to manage comorbid conditions such as anxiety or depression. This combination provides a comprehensive treatment strategy.

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Correct Answer is A

Explanation

A. Guilt. Clients recovering from dissociative amnesia may experience feelings of guilt related to the events they cannot remember or the circumstances that led to their dissociative episode. This emotional response is common as they process their experiences.
B. Anhedonia. While anhedonia, or the inability to experience pleasure, can occur in various mental health conditions, it is not a primary manifestation of dissociative amnesia. Clients may experience emotional distress but not specifically anhedonia.
C. Hallucinations. Hallucinations are not typical manifestations of dissociative amnesia. This disorder primarily involves memory loss rather than perceptual disturbances. Hallucinations are more commonly associated with psychotic disorders.
D. Delusions. Delusions involve firmly held false beliefs that are inconsistent with reality. These are not characteristic of dissociative amnesia, which focuses on memory disruption rather than the presence of delusional thinking.

A. "Clients who have this disorder consciously control the manifestations." B. "Clients who have this disorder exhibit more than one personality." C. "Feeling outside of one's body is a primary manifestation of this disorder." D. "The manifestations of this disorder are worse during times of increased stress."

Correct Answer is D

Explanation

A. "Clients who have this disorder consciously control the manifestations." Functional neurological symptom disorder (formerly conversion disorder) involves involuntary neurological symptoms, such as paralysis, blindness, or seizures, that lack a medical explanation. Clients do not consciously produce or control these symptoms.
B. "Clients who have this disorder exhibit more than one personality." Multiple personalities are characteristic of dissociative identity disorder (DID), not functional neurological symptom disorder. Clients with functional neurological symptom disorder experience physical symptoms, not identity fragmentation.
C. "Feeling outside of one's body is a primary manifestation of this disorder." Feeling detached from one's body, known as depersonalization, is a symptom of depersonalization/derealization disorder. Functional neurological symptom disorder primarily involves physical, rather than perceptual, disturbances.
D. "The manifestations of this disorder are worse during times of increased stress." Symptoms of functional neurological symptom disorder often intensify during emotional or psychological stress. Stress-related factors contribute to the onset or worsening of symptoms, making stress management a key part of treatment.

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A nurse is reviewing treatment options for a client who has functional neurological symptom disorder. Which of the following treatments should the nurse identify as being most effective for this disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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