Which presentations suggest the possibility of a factitious disorder, self-directed type? Select all that apply
a. History of multiple hospitalizations without findings of physical illness
b. History of multiple medical procedures or exploratory surgeries
c. Going from one doctor to another seeking the desired response
d. Claims illness to obtain financial benefit or other incentive
e. Difficulty describing symptoms
ANS: A, B
Persons with factitious disorders, self-directed type, typically have a history of multiple hospitalizations and medical workups, with negative findings from workups. Sometimes they have even had multiple surgeries seeking the origin of the physical complaints. If they do not receive the desired response from a hospitalization, they may elope or accuse staff of incompetence. Such persons usually seek treatment through a consistent health care provider rather than doctor-shopping, are not motivated by financial gain or other external incentives, and present symptoms in a very detailed, plausible manner indicating considerable understanding of the disorder or presentation they are mimicking. See relationship to audience response question.
You might also like to view...
The physician asks the nurse whether the client with schizophrenia is experiencing any negative symptoms. The nurse responds that the client frequently:
1. answers questions in one- and two-word phrases with little expression. 2. is still delusional and believes she is Marilyn Monroe. 3. dresses in brightly colored, mismatched outfits. 4. has visual hallucinations of seeing polar bears in the room.
When critiquing a research report, what would not be needed in the description of the sample to determine the validity of the sample? The
a. population it was representing b. number of subjects c. way the sample was chosen d. mean age of the sample
The nurse manager is preparing an educational in-service for staff nurses about elder abuse
The nurse manager develops a hypothetical situation: a wheelchair-bound client who lives with her daughter has experienced hunger because she cannot reach the cupboards to make lunch. Which category of elder abuse does this example describe? A. Psychologic abuse B. Physical abuse C. Neglect D. Financial abuse
Antineoplastic medications are more likely to cause permanent sterility in women than in men.
a. true b. false