A nurse is reviewing progress notes on a newly admitted client. One progress note reveals that the client purposefully inserted a contaminated catheter into urethra, leading to a urinary tract infection
The nurse recognizes this behavior as characteristic of which mental disorder? 1. Illness anxiety disorder
2. Factitious disorder
3. Functional neurological symptom disorder
4. Depersonalization-derealization disorder
2
Rationale: Factitious disorders involve conscious, intentional feigning of physical or psychological symptoms. Individuals with factitious disorder pretend to be ill in order to receive emotional care and support commonly associated with the role of "patient." Individuals become very inventive in their quest to produce symptoms. Examples include self-inflicted wounds, injection or insertion of contaminated substances, manipulating a thermometer to feign a fever, urinary tract manipulation, and surreptitious use of medications.
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The nurse gives discharge instructions to a person who has had a modified radical mastectomy of the right side to perform the "elbow pull-in." Place the steps of the exercise in appropriate order. (Separate letters by a comma and space as follows: A, B, C
a. Pull elbows forward until they touch b. Lower and straighten the arms c. Extend arms sideways to shoulder level d. Bring elbows back and extend arms e. Clasp hands behind neck
A three-year-old is admitted to the hospital unit with cellulitis of the neck. The nurse will expect medical treatment to include:
1. Topical antibiotics. 2. Intravenous antibiotics. 3. Incision and drainage. 4. Intravenous corticosteroids.
To plan effective care for patients with somatoform disorders, the nurse must understand that the patients may have difficulty giving up the symptoms because they:
a. have impaired interpersonal skills. b. can be voluntarily controlled. c. provide relief of anxiety. d. have a physiological basis.
The nurse is providing care to a client who is diagnosed with benign prostatic hyperplasia (BPH). The client's primary concern is burning and difficulty when urinating. Based on this data, which nursing diagnosis is the priority for this client?
A) Fluid Volume Overload B) Fluid Volume Deficit C) Acute Pain D) Deficient Knowledge