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 A

Explanation

A. Anxiety is characterized by feelings of worry, fear, and apprehension about future events or uncertain outcomes. In this situation, the client's concerns about her husband's chronic illness diagnosis, his treatment, and financial implications (due to his inability to work) indicate that she is experiencing anxiety. These worries are typical responses to stressful life events and uncertainties.

B. Shock is a sudden and intense emotional reaction typically experienced immediately after a traumatic or unexpected event. While the client may initially experience shock upon hearing her husband's diagnosis, ongoing worry about treatment and financial concerns suggests a more prolonged state of anxiety rather than acute shock.

C. Withdrawal refers to a disengagement or retreat from social interactions or activities. There is no indication in the scenario that the client is withdrawing from social interactions. Rather, she is actively expressing concerns and seeking support, which is inconsistent with withdrawal.

D. Anger involves feelings of hostility, frustration, or resentment towards others or situations. While anger could potentially arise in response to the stressors described, the primary emotion expressed by the client in this scenario is worry and concern, which aligns more closely with anxiety than anger.

A. Dysthymia B. Body dysmorphic disorder C. Somatoform disorder D. Major depressive disorder

Correct Answer is C

Explanation

C Somatoform disorders are characterized by physical symptoms that suggest a medical condition but cannot be fully explained by a general medical condition, another mental disorder, or substance use. Individuals with somatoform disorders often experience distress or impairment due to these symptoms despite medical reassurance that no physical cause can be found.

A. Dysthymia is a type of persistent depressive disorder characterized by a depressed mood that lasts for at least two years. It typically involves emotional and behavioral symptoms rather than physical symptoms without clinical findings.

B. Body dysmorphic disorder involves a preoccupation with perceived defects or flaws in physical appearance that are not observable or appear slight to others. While it involves body image concerns, it does not manifest as physical symptoms in the absence of objective findings.

D. Major depressive disorder primarily involves mood disturbances such as sadness, loss of interest or pleasure, and changes in appetite or sleep. While physical symptoms like fatigue and changes in weight can occur, they are not typically reported persistently without objective clinical findings as seen in somatoform disorders.

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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

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A client continually reports physical symptoms in the absence of objective clinical findings. The nurse should suspect which of the following disorders?

Correct Answer is C

Explanation

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