To differentiate between somatoform and conversion disorders, the nurse will direct assessment to ascertain the presence of the critical defining factor associated with conversion disorder—that is, the symptom:
1. Cannot be accounted for by a medical condition
2. Is limited to pain or sexual function
3. Is precipitated by psychological factors
4. Is intentionally feigned
ANS: 3
Symbolic psychological factors are identified as being related to the onset or exacerbation of a conversion symptom. 1. This is also true of somatization disorder. 2. The symptom is not limited to pain or sexual function. 4. The symptom is not under voluntary control.
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The nurse is caring for a patient with acute kidney injury who is being treated with hemodialysis. The patient asks if he will need dialysis for the rest of his life. Which of the following would be the best response?
a. "Unfortunately, kidney injury is not reversible; it is permanent." b. "Kidney function usually returns within 2 weeks." c. "You will know for sure if you start urinating a lot all at once." d. "recovery is possible, but it may take several months."
A nurse asks the nurse manager how accountability in health care-related professions can be evaluated. The nurse manager explains that staff accountability can be evaluated by:
a. their actions and the ability to state when they have been wrong. b. the ability to support their actions and justify the results. c. the ability to report, justify, or explain actions. d. processes and experiences.
A nurse is employed by a local health department. Which of the following would be a core responsibility of this role?
a. Assessment and surveillance of the health status of its residents b. Providing direct care to vulnerable populations in the community c. Using marketing strategies to educate citizens about healthy lifestyle choices d. Implementing quality assurance methods at local care facilities
A 16 month old child diagnosed with Kawasaki Disease (KD) is very irritable,refuses to eat, and exhibits peeling skin on the hands and feet. Which of the following would the nurse interpret as the priority?
a) applying lotions to the hands and feet b) offering foods the toddler likes c) placing the toddler in a quiet environment d) encouraging the parents to get some rest