A nurse should suspect which disorder when a client is able to move his arm in private but states to others that his arm is paralyzed?
Personality disorder
Hypochondriasis
Conversion disorder
Cyclothymic disorder
The Correct Answer is C
A. Personality disorder: Personality disorders involve enduring patterns of behavior and inner experiences that deviate from the norm, but they do not typically include symptoms like claimed paralysis.
B. Hypochondriasis: Hypochondriasis (now classified as illness anxiety disorder) involves excessive worry about having a serious illness but does not involve actual loss of function.
C. Conversion disorder: Conversion disorder involves neurological symptoms that cannot be explained by medical evaluation. Symptoms can include paralysis, blindness, or other neurological deficits that are inconsistent with medical findings and often arise in response to psychological stress.
D. Cyclothymic disorder: Cyclothymic disorder involves chronic fluctuating moods but does not typically include conversion symptoms like paralysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Pyromania: Pyromania is an impulse control disorder characterized by the recurrent urge to set fires.
B. Deceitfulness: Deceitfulness is more associated with antisocial personality disorder rather than impulse control disorders.
C. Aggressive conduct: Aggressive conduct is associated with conduct disorder, not specifically with impulse control disorders.
D. Serious rule violations: Serious rule violations are characteristic of conduct disorder.
Correct Answer is D
Explanation
A. Take a time-out: A time-out is generally used for de-escalating situations in less severe cases and may not be effective if the client is already physically aggressive and a risk to staff.
B. Administer oral medication: Administering oral medication can help to calm the client, but it may not be immediately effective if the client is already aggressive and out of control.
C. Call a family member or friend: Calling a family member or friend may provide emotional support, but it is not a direct intervention to address immediate physical aggression.
D. Apply restraints: When a client is physically aggressive and poses a risk of injury to themselves or others, applying restraints may be necessary to ensure safety. This should be done following proper protocols and as a last resort.
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