Nokea
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.
You may also like to solve these questions
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.
The nurse is identifying outcomes for a client with a somatic symptom illness. Which is an appropriate outcome to include in the plan of care?
- A. The client will verbally express his or her emotions.
- B. The client will be free from stress.
- C. The client will demonstrate alternative ways to avoid stressful situations.
- D. The client will verbalize acceptance of physical symptoms.
Correct Answer: A
Rationale: Verbal expression of emotions is a realistic outcome, helping clients address underlying psychological factors.
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.
The nurse has encouraged the client with a somatic symptom illness to keep a journal. Which treatment outcome might be met by journaling?
- A. The nurse will control external stressors that trigger the patient's physical symptoms.
- B. The nurse will assess the onset of physical symptoms.
- C. The client will express emotions privately.
- D. The client will identify the occurrence of physical symptoms when stressed.
Correct Answer: D
Rationale: Journaling helps clients recognize the link between stress and physical symptoms, fostering insight into the mind-body connection.
Which of the following terms are applicable when a person inflicts illness or injury on someone else to gain the attention of emergency medical personnel or to be a 'hero' for saving the victim?
- A. Malingering
- B. Factitious disorder
- C. Munchausen's syndrome by proxy
- D. Induced illness
Correct Answer: C
Rationale: Munchausen's syndrome by proxy involves inflicting harm on another to gain attention or hero status.