Nokea
A client with somatic symptom illness tells the nurse that she is sick so often that her husband and children take over most of the household duties, such as cooking, cleaning, doing laundry, and so forth. Which is this evidence of?
- A. Dysfunctional family unit
- B. Primary gain
- C. Role reversal
- D. Secondary gain
Correct Answer: D
Rationale: Secondary gain involves external benefits like relief from responsibilities or increased attention due to illness.
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A middle-aged client goes to the physician falsely complaining of hip pain. The client's intention is to fake chronic hip pain to apply for disability benefits from the government. Which best reflects the client's potential diagnosis?
- A. Malingering
- B. Hypochondriasis
- C. Factitious disorder
- D. Munchausen's syndrome by proxy
Correct Answer: A
Rationale: Malingering involves intentionally faking symptoms for external gain, such as disability benefits.
An actor has prepared extensively for his first stage production. On the morning of the opening of the play, the actor awakens with laryngitis. From which disorder is the actor most likely suffering?
- A. Acute upper respiratory infection
- B. Conversion disorder
- C. Hysteria
- D. Somatization disorder
Correct Answer: B
Rationale: Conversion disorder involves sudden sensory or motor deficits, like laryngitis, linked to psychological stress, not organic causes.
Which is the primary gain for a client with conversion disorder?
- A. Emotional detachment
- B. Emotional support from family
- C. Identification of anxious feelings
- D. Relief from emotional conflict
Correct Answer: D
Rationale: Conversion disorder provides relief from emotional conflict by expressing it through physical symptoms, not through detachment or external support.
A client is seen in the primary care clinic complaining of headaches. The client appears extremely distressed and insists that she must have a brain tumor. Which diagnosis is most probable for this client?
- A. Conversion disorder
- B. Pain disorder
- C. Brain cancer
- D. Hypochondriasis
Correct Answer: D
Rationale: Hypochondriasis involves preoccupation with fear of serious illness, like a brain tumor, despite no organic basis.
A newly graduated nurse is scheduled to take the NCLEX RN examination in 3 days. On awakening today, the graduate cannot see anything. Which might this statement result from?
- A. La belle indifference
- B. Regression
- C. Malingering
- D. Undoing
Correct Answer: A
Rationale: La belle indifference is a lack of concern about functional loss, common in conversion disorder, as seen in this sudden blindness.