Nokea
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.
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Which are the factors that are currently considered to be possible reasons for the increased incidence of somatization in women? Select all that apply.
- A. Boys in the United States are taught to be stoic and to take it like a man.
- B. Women seek medical care more frequently.
- C. Women more often receive treatment for psychological symptoms.
- D. Women are more likely to have experienced childhood sexual abuse.
- E. Unexplained female pains
Correct Answer: A,B,C,D
Rationale: Cultural expectations of stoicism in men, frequent medical care-seeking, treatment for psychological symptoms, and higher rates of childhood sexual abuse contribute to somatization in women.
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 with recurrent headaches has been told by the physician that the cause is likely psychosomatic. The client reports this conversation to the nurse and says, 'That just can't be true. My head hurts so bad sometimes that it makes me sick to my stomach.' Which is the nurse's best response?
- A. To give the client some privacy and time to calm down.
- B. To say nothing and sit quietly with the client.
- C. The pain in your head is very real.
- D. Well, that's not what your doctor thinks.
Correct Answer: C
Rationale: Validating the reality of the client's pain builds trust and supports further discussion about psychosomatic causes.
Psychosocial theorists propose that somatic symptom illnesses are an indirect expression of stress and anxiety through physical symptoms. Which is the primary defense mechanism used in somatoform disorders?
- A. Somatization
- B. Identification
- C. Internalization
- D. Repression
Correct Answer: C
Rationale: Internalization involves unconsciously keeping stress or anxiety inside, expressed through physical symptoms in somatoform disorders.
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.