NURS 322 Exam 2 (Latest
update) Questions & Answers {Grade A}
100% Correct
A patient in the emergency department was seen for the third time in a month with
complaints of tremors and paresthesia in the lower extremities. Neurological
functional disorder was diagnosed. While preparing for discharge, the patient says,
"Now I'm having chest pain, but it's probably nothing." How should the nurse respond?
a. Assess the patient's most current laboratory values.
b. Interrupt the discharge and arrange additional medical evaluation of the patient.
c. Remind the patient, "The diagnostic tests showed you did not have a medical
problem."
d. Tell the patient, "Being in the emergency department for a long time can be very
distressing." - Correct answer b. Interrupt the discharge and arrange additional
medical evaluation of the patient.
A paresthesia is a tingling or pricking sensation. Conversion disorder (functional
neurobiological symptom disorder) usually involves weakness or paralysis, abnormal
,movement, swallowing or speech difficulties, seizures or attacks, and sensory
problems. Patients may be distressed or show la belle indifference (a lack of
emotional concern). Despite the diagnosis, the patient's complaints must be taken
seriously. Further evaluation is needed.
A patient has been identified as having a somatoform disorder. Which of the following
should the nurse do when interacting with the patient?
a. Ignore feelings to avoid promoting progression of symptoms.
b. Redirect conversation away from feelings but show interest toward the patient.
c. Encourage the use of benzodiazepines on a consistent basis to reduce anxiety.
d. Suggest the patient direct all questions to the nurse and not the medical provider. -
Correct answer b. Redirect conversation away from feelings but show interest toward
the patient.
Nurses should avoid emphasizing feelings but should continue to show interest in the
patient. Ignoring feelings or symptoms completely could result in missing a serious
medical issue. Frequent use of benzodiazepines is not recommended, but patients may
,benefit from other anxiolytic medications. When somatic symptom disorders are
suspected, a nurse may be assigned as a main contact point, but the patient should
still be encouraged to discuss care his or her providers.
Which disorder would the nurse suspect when a person takes their child from doctor
to doctor and from hospital to hospital with a variety of intentionally induced
symptoms?
a. Illness anxiety disorder
b. Functional neurological disorder
c. Factitious disorder imposed by another
d. Rumination disorder - Correct answer c. Factitious disorder imposed by another
People with factitious disorder imposed by another may do things to cause symptoms
or illness in another person. They will often go from provider to provider or hospital to
hospital. The motivation is for the attention, caring, and sympathy they receive as the
caregiver of the victim.
, The school nurse assesses four adolescents who appear to have a healthy weight.
Which comment would lead the nurse to explore further for an eating disorder?
a. "I usually try to exercise 30 minutes a day."
b. "I know everything in my life will be better once I lose 15 more pounds."
c. "I forgot my lunch today, so I will only be eating an apple."
d. "I know I shouldn't eat potato chips, but I just love them." - Correct answer b. "I know
everything in my life will be better once I lose 15 more pounds."
People with eating disorders may perceive themselves as overweight and place
unrealistic value on being thin. Losing 15 pounds is not likely to alter all aspects of
someone's life.
2. A nurse assesses four adolescents diagnosed with various eating disorders. Which
comment would the nurse expect from the adolescent diagnosed with anorexia
nervosa?
a. "I look good because whenever I overeat, I purge myself."
b. "I love sweets. I make myself throw up so I can eat more."
c. "I've lost 60 pounds, but I'm still a size 2. I want to be a size 0."
update) Questions & Answers {Grade A}
100% Correct
A patient in the emergency department was seen for the third time in a month with
complaints of tremors and paresthesia in the lower extremities. Neurological
functional disorder was diagnosed. While preparing for discharge, the patient says,
"Now I'm having chest pain, but it's probably nothing." How should the nurse respond?
a. Assess the patient's most current laboratory values.
b. Interrupt the discharge and arrange additional medical evaluation of the patient.
c. Remind the patient, "The diagnostic tests showed you did not have a medical
problem."
d. Tell the patient, "Being in the emergency department for a long time can be very
distressing." - Correct answer b. Interrupt the discharge and arrange additional
medical evaluation of the patient.
A paresthesia is a tingling or pricking sensation. Conversion disorder (functional
neurobiological symptom disorder) usually involves weakness or paralysis, abnormal
,movement, swallowing or speech difficulties, seizures or attacks, and sensory
problems. Patients may be distressed or show la belle indifference (a lack of
emotional concern). Despite the diagnosis, the patient's complaints must be taken
seriously. Further evaluation is needed.
A patient has been identified as having a somatoform disorder. Which of the following
should the nurse do when interacting with the patient?
a. Ignore feelings to avoid promoting progression of symptoms.
b. Redirect conversation away from feelings but show interest toward the patient.
c. Encourage the use of benzodiazepines on a consistent basis to reduce anxiety.
d. Suggest the patient direct all questions to the nurse and not the medical provider. -
Correct answer b. Redirect conversation away from feelings but show interest toward
the patient.
Nurses should avoid emphasizing feelings but should continue to show interest in the
patient. Ignoring feelings or symptoms completely could result in missing a serious
medical issue. Frequent use of benzodiazepines is not recommended, but patients may
,benefit from other anxiolytic medications. When somatic symptom disorders are
suspected, a nurse may be assigned as a main contact point, but the patient should
still be encouraged to discuss care his or her providers.
Which disorder would the nurse suspect when a person takes their child from doctor
to doctor and from hospital to hospital with a variety of intentionally induced
symptoms?
a. Illness anxiety disorder
b. Functional neurological disorder
c. Factitious disorder imposed by another
d. Rumination disorder - Correct answer c. Factitious disorder imposed by another
People with factitious disorder imposed by another may do things to cause symptoms
or illness in another person. They will often go from provider to provider or hospital to
hospital. The motivation is for the attention, caring, and sympathy they receive as the
caregiver of the victim.
, The school nurse assesses four adolescents who appear to have a healthy weight.
Which comment would lead the nurse to explore further for an eating disorder?
a. "I usually try to exercise 30 minutes a day."
b. "I know everything in my life will be better once I lose 15 more pounds."
c. "I forgot my lunch today, so I will only be eating an apple."
d. "I know I shouldn't eat potato chips, but I just love them." - Correct answer b. "I know
everything in my life will be better once I lose 15 more pounds."
People with eating disorders may perceive themselves as overweight and place
unrealistic value on being thin. Losing 15 pounds is not likely to alter all aspects of
someone's life.
2. A nurse assesses four adolescents diagnosed with various eating disorders. Which
comment would the nurse expect from the adolescent diagnosed with anorexia
nervosa?
a. "I look good because whenever I overeat, I purge myself."
b. "I love sweets. I make myself throw up so I can eat more."
c. "I've lost 60 pounds, but I'm still a size 2. I want to be a size 0."
