A patient has had what appeared to be an epileptic seizure; however, the patient's MRI and EEG results that do not show seizure activity. After a thorough assessment and appropriate tests by the patient's health care professional,
the nurse begins to suspect which psychological disorder?
1. Factitious disorder
2. Conversion disorder
3. Illness anxiety disorder
4. Somatic symptom disorder
Answer: 2
Explanation: Patients who have symptoms of conversion disorder experience one or more changes in voluntary motor or sensory function, changes that are not recognized as neurologic or medical in origin. Some patients may experience symptoms that mimic seizure. Factitious disorder is characterized by patients falsifying an illness. Somatic symptom disorder refers to emotional distress that exhibits through somatic or physiological symptoms. Illness anxiety disorder refers to patients who experience preoccupation with having an illness, though there are typically no physical symptoms.
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A 60-year-old male client with an acute viral infection is receiving interferon therapy. The physician is teaching the family of the client about the diverse actions of the treatment and the ways that it differs from other anti-infective therapies. Which of the following teaching points listed below should the physician least likely include?
A) "Interferon can help your father's unaffected cells adjacent to his infected cells produce antiviral proteins that can stop the spread of the infection." B) "Interferon can help limit the replication of the virus that's affecting your father." C) "Interferon helps your father's body recognize infected cells more quickly." D) "Interferon can bolster your father's immune system through the stimulation of natural killer cells that attack viruses."
A client has secondary syphilis. What precautions are necessary for the nurse to take when caring for this client?
a. No precautions in addition to Standard Precautions are necessary. b. Gloves should be worn whenever direct contact with the client's skin is required. c. Handwashing is required before and after contact with the client. d. A mask should be worn by anyone enter-ing the client's room.
A patient is having surgery to surgically close a wound. This patient's wound will heal by:
a. primary intention c. secondary intention b. tertiary intention d. regeneration
Which of the following assessment findings in a client with leukemia would indicate that the cancer has invaded the brain?
a. Headache and vomiting. b. Restlessness and tachycardia c. Hypervigilant and anxious behavior d. Increased heart rate and decreased blood pressure.