A soldier arrives at the airport after completing a combat assignment. He reports a new-onset blindness but was able to identify his wife in the crowd awaiting passenger arrivals. He is likely experiencing symptoms of

hypochondriasis.

conversion disorder

malingering

somatization.

Answer and Explanation

The Correct Answer is B

B. Conversion disorder involves the presence of neurological symptoms that are inconsistent with known neurological or medical conditions. These symptoms often manifest as sensory or motor deficits, such as blindness, paralysis, or seizures, without a clear organic basis. The symptoms are not intentionally produced and are not explained by another medical or psychiatric condition.

A. Hypochondriasis, now known as illness anxiety disorder, involves excessive worry or preoccupation with having a serious illness despite medical reassurance and lack of significant physical symptoms. It does not typically involve sensory or neurological symptoms such as blindness.

C. Malingering involves the intentional production or exaggeration of symptoms for secondary gain, such as financial compensation, avoiding military duty, or obtaining drugs. In malingering, there is typically a clear external incentive for the behavior, which is not evident in the soldier's case.

D. Somatization disorder (now termed somatic symptom disorder) involves multiple and recurrent physical symptoms that are distressing and lead to excessive thoughts, feelings, and behaviors related to these symptoms. It does not typically present with sudden onset of sensory deficits like blindness.

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Correct Answer is B

Explanation

B. This is the most appropriate initial action. One-to-one observation ensures constant monitoring of the client's safety and prevents further harm, such as another suicide attempt or self-harm. Given the client's history of depression and recent suicide attempt, ensuring their safety is paramount.

A. This option is not the first priority because while addressing anorexia nervosa is important, safety concerns related to the suicide attempt and potential substance abuse take precedence. Making a weight gain contract requires the client's cooperation and readiness, which may not be feasible immediately upon admission.

C. While assessing the severity of depression is crucial, it is secondary to ensuring immediate safety in this context. The client's safety must be established first through continuous observation and intervention.

D. While important to understand the substances involved in the suicide attempt, this action is secondary to ensuring ongoing safety through direct observation. Toxicology results can guide subsequent treatment decisions but are not as urgent as immediate safety measures.

A. Irritability B. Euphoria C. Decreased energy D. Isolation from peers E. Grandiosity F. loneliness

Correct Answer is ["A","C","D","F"]

Explanation

A. Irritability is a common symptom of depression in adolescents. They may become easily annoyed, frustrated, or angered, often over minor issues.

B. Euphoria, which refers to an exaggerated feeling of happiness or excitement, is not typically associated with depression. Instead, it may indicate a different mood disorder, such as bipolar disorder.

C. Adolescents with depression often experience decreased energy levels or fatigue. They may feel physically drained and lack motivation to engage in usual activities.

D. Social withdrawal and isolation from peers is a significant behavioral indicator of depression. Adolescents may avoid social activities, stop participating in hobbies, or spend more time alone.

E. Grandiosity refers to an exaggerated sense of one's importance, abilities, or achievements. This symptom is more characteristic of certain mood disorders like bipolar disorder or narcissistic personality disorder rather than depression.

F. Feelings of loneliness and social isolation are common in adolescents with depression. They may feel disconnected from others, even if they are physically present in social settings.

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A soldier arrives at the airport after completing a combat assignment. He reports a new-onset blindness but was able to identify his wife in the crowd awaiting passenger arrivals. He is likely experiencing symptoms of

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a group of adolescents regarding identifying behavioral indicators of depression. Which of the following manifestations should the nurse include? (Select all that apply.)

Correct Answer is ["A","C","D","F"]

Explanation

What is the main issue for adolescents with anorexia?

The client has recently started antidepressant drug therapy. He approaches the nurse complaining of a headache, palpitations, and stiffness in the neck. What is the nurse's priority action?

Depression in adolescence usually is related to loneliness, family strengths, self-esteem, and which of the following?

A female client with anorexia nervosa and a cardiac condition was prescribed an antidepressant before she regained weight during her treatment course. The nurse should be aware of the possibility of which condition in this client?

Which of the following conditions are eating disorders? (Select All that Apply.)

A hospitalized client is told that he has terminal cancer. The client adamantly believes that the physician is wrong despite biopsy results and MRI findings. This is an example of which of the following?

A soldier arrives at the airport after completing a combat assignment. He reports a new-onset blindness but was able to identify his wife in the crowd awaiting passenger arrivals. He is likely experiencing symptoms of

A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?