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 D

Explanation

A. Valproate. Valproate is an anticonvulsant medication primarily used to treat seizures and bipolar disorder, and it is not indicated for the treatment of bulimia nervosa.
B. Olanzapine. Olanzapine is an atypical antipsychotic that may be used in certain eating disorders, but it is not the first-line treatment for bulimia nervosa. SSRIs, specifically fluoxetine, are more commonly prescribed for this condition.
C. Naltrexone. Naltrexone is an opioid antagonist used primarily for alcohol dependence and opioid use disorder. It is not indicated for the treatment of bulimia nervosa.
D. Fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that has been shown to be effective in reducing binge-eating and purging behaviors in individuals with bulimia nervosa. It is the medication the nurse should anticipate administering for this client.

A. Employment assistance B. Psychiatrist C. Social worker D. Spiritual advisor

Correct Answer is C

Explanation

A. Employment assistance. While employment support is valuable for clients with schizophrenia, housing stability should be prioritized first. A client without a place to live may struggle to maintain a job, making housing support the more immediate concern.
B. Psychiatrist. A psychiatrist plays a crucial role in managing schizophrenia through medication and therapy. However, the client’s immediate need is housing, which falls outside the psychiatrist’s primary role and is better addressed by a social worker.
C. Social worker. A social worker can assist with housing placement, financial aid, and community resources for individuals experiencing homelessness. They are the most appropriate referral to help the client secure stable living arrangements.
D. Spiritual advisor. While spiritual guidance may provide emotional support, it does not directly address the client’s urgent need for housing. The primary intervention should focus on securing a safe and stable place to live.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bulimia nervosa has a new prescription for a selective serotonin reuptake inhibitor (SSRI). Which of the following medications should the nurse anticipate administering?

Correct Answer is D

Explanation

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?

Correct Answer is C

Explanation

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?

A nurse is caring for a client who is crying and states they are depressed and feel like they are "going crazy." Which of the following client statements indicates the client is experiencing emotional abuse? (Select All that Apply.)

A nurse is caring for an older adult client who reports their caregiver has been writing checks in their name without their consent. Which of the following types of abuse is the client experiencing?

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?

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 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?

A nurse in an outpatient behavioral facility is caring for a client who has a substance use disorder and a history of violence. Which of the following client statements should the nurse identify as being consistent with adverse childhood experiences (ACEs)? (Select All that Apply.)