A patient with blindness related to conversion (functional neurological) disorder says, 'All the doctors and nurses in the hospital stop by often to check on me. Too bad people outside the hospital don't find me as interesting.' Which nursing diagnosis is most relevant?

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Psychobiologic Disorders Med Surg 2 Questions

Question 1 of 5

A patient with blindness related to conversion (functional neurological) disorder says, 'All the doctors and nurses in the hospital stop by often to check on me. Too bad people outside the hospital don't find me as interesting.' Which nursing diagnosis is most relevant?

Correct Answer: B

Rationale: The patient mentions that the symptoms make people more interested. This indicates that the patient feels uninteresting and unpopular without the symptoms, thus supporting the nursing diagnosis of chronic low self-esteem. Defining characteristics for the other nursing diagnoses are not present in the scenario.

Question 2 of 5

Which comment is most likely from a patient with chronic sleep deprivation?

Correct Answer: B

Rationale: A discrepancy between hours of sleep obtained and hours required leads to sleep deprivation. Adults with less than 6 hours of sleep per night often suffer from chronic sleep deprivation. Common complaints include poor general health, physical and mental distress, limitations in ADLs, depressive or anxious symptoms, and pain. One distracter indicates a problem with sleep hygiene [television]. The remaining distracters do not indicate a problem.

Question 3 of 5

A patient says, It takes me about 15 minutes to go to sleep each night. This comment describes:

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A person is prescribed sertraline (Zoloft) 100 mg PO daily. Which change in sleep is likely secondary to this medication? The patient will have:

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A home care nurse assesses a very demanding patient with chronic obstructive pulmonary disease (COPD). Afterward, the nurse talks with the spouse who has provided this patients care for 6 years. The spouse says, I dont need much sleep anymore. I might need to help him during the night. Select the nurses most therapeutic response.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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