A nurse is working with a client who is displaying disproportionate fear of having cancer. The nurse notes the client is seeking out medical care more frequently, has high anxiety, and believes they have cancer, despite no medical evidence to support this. Which of the following disorders is the client likely experiencing?

Somatic symptom disorder

Factitious disorder

Functional neurological symptom disorder

Illness anxiety disorder

Answer and Explanation

The Correct Answer is D

A. Somatic symptom disorder. This disorder involves excessive concern over physical symptoms that are actually present, even if they are mild. In contrast, illness anxiety disorder is characterized by intense fear of having a serious illness despite the absence of significant physical symptoms.
B. Factitious disorder. Factitious disorder involves deliberately fabricating or inducing symptoms to assume the sick role. In illness anxiety disorder, the client genuinely believes they are ill but does not intentionally create symptoms.
C. Functional neurological symptom disorder. This condition, previously called conversion disorder, involves neurological symptoms (e.g., paralysis, blindness) that cannot be explained by medical findings. Unlike illness anxiety disorder, these symptoms are involuntary and not focused on a fear of disease.
D. Illness anxiety disorder. This disorder, formerly known as hypochondriasis, involves excessive worry about having a severe illness despite little or no medical evidence. The client’s persistent health-related anxiety and frequent medical visits align with this diagnosis.

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Correct Answer is B

Explanation

A. "A family member took me fishing several times when I was a kid." This statement reflects a positive memory of a family activity and does not contribute to understanding aggressive behavior.
B. "My parent used their fists to hit me as a child." This statement indicates a history of physical abuse in childhood, which can be a significant contributing factor to aggressive behavior in adulthood. Experiencing violence in the home can lead to the normalization of aggression as a means of resolving conflict or expressing emotions.
C. "My parent was physically abused as a child." While this statement indicates a cycle of violence, it does not directly reflect the client's own experiences that may contribute to their aggressive behavior. It may suggest a learned behavior pattern, but it is less direct than the client's personal experience of being abused.
D. "I drink a glass of wine occasionally with dinner." This statement about moderate alcohol consumption does not inherently indicate a risk factor for aggression. While substance use can contribute to aggressive behavior in some individuals, occasional drinking with meals is generally not considered a significant risk factor on its own.

A. School-age B. Older adulthood C. Young adulthood D. Preschooler

Correct Answer is C

Explanation

A. School-age. While some early signs of schizophrenia may appear in childhood, the diagnosis is generally not made during this age group. Schizophrenia typically manifests later, with more distinct symptoms.
B. Older adulthood. Schizophrenia is not commonly diagnosed in older adulthood. While some individuals may experience late-onset schizophrenia, the majority of cases are diagnosed earlier in life, typically in young adulthood.
C. Young adulthood. Schizophrenia is most commonly diagnosed in late adolescence to early adulthood, usually between the ages of 18 and 30. This age group is critical as the onset of symptoms tends to occur during this developmental period.
D. Preschooler. Schizophrenia is extremely rare in preschool-aged children. Diagnosing schizophrenia in this age group is challenging, as many of the behaviors associated with the disorder can overlap with typical developmental variations.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?

Correct Answer is B

Explanation

A nurse is assisting with an in-service to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

Correct Answer is C

Explanation

A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select All that Apply.)

A nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase?

A nurse is caring for a client in an outpatient clinic. Exhibits Select the 3 interventions the nurse should plan to take.

A nurse is planning discharge for a client who has schizophrenia and reports "I don't have a place to live." Which of the following referrals should the nurse request from the provider?

A nurse is caring for a client who has binge-eating disorder. Which of the following actions should the nurse plan to take during the termination phase of the nurse-client relationship?

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

A nurse is caring for a client who reports that they have been eliminating specific foods from their diet in order to "eat clean." The nurse should identify that this is an indication of which of the following conditions?