Which assessment findings suggest the possibility of a factitious disorder, imposed on self-type? (Select all that apply.)

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Behavioral Health Nurse Certification Questions

Question 1 of 5

Which assessment findings suggest the possibility of a factitious disorder, imposed on self-type? (Select all that apply.)

Correct Answer: A

Rationale: Rationale: Choice A is correct as it indicates a pattern of multiple hospitalizations without any physical illness findings, which aligns with factitious disorder imposed on self. This behavior is characterized by feigning or inducing symptoms to assume the sick role. Choices B, C, and D are incorrect because they are more indicative of malingering, seeking secondary gains, or seeking attention, rather than factitious disorder.

Question 2 of 5

While conducting the initial interview with a patient in crisis, the nurse should

Correct Answer: A

Rationale: The correct answer is A because speaking in short, concise sentences helps the patient focus and process information effectively during a crisis. It allows for clear communication and reduces confusion. Choice B is incorrect as conveying urgency may escalate the patient's distress. Choice C is incorrect as time limits can add pressure and hinder trust-building. Choice D is incorrect as it may create a power dynamic that can be intimidating for the patient.

Question 3 of 5

After celebrating the fortieth birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?

Correct Answer: C

Rationale: The correct answer is C: Maturational crisis. At the age of forty, individuals typically face midlife crisis, a maturational crisis triggered by aging and self-reflection. This crisis involves questioning life choices, goals, and mortality, leading to concerns about aging and appearance. Reactive crisis (A) is in response to a specific event, not age-related. Situational crisis (B) arises from external events, not internal reflections on aging. Body image crisis (D) focuses solely on appearance, neglecting broader midlife issues. Thus, C is the best choice.

Question 4 of 5

A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would the nurse expect from the driver immediately after this event? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A: Difficulty using a cell phone. After a serious automobile accident, the driver may experience shock or disorientation, affecting fine motor skills and cognitive function. This can result in difficulty using a cell phone. Long-term memory losses (B) are not immediate post-accident symptoms. Fecal incontinence (C) is not a common immediate response to an accident. Rapid speech (D) is more likely a sign of anxiety or stress, but not necessarily an immediate effect of the accident. Therefore, the most likely finding would be difficulty using a cell phone due to shock or disorientation.

Question 5 of 5

Guidelines followed by the leader of a therapeutic group include focusing on recognizing dysfunctional behavior and thinking patterns, followed by identifying and practicing more adaptive alternate behaviors and thinking. Which theory is evident by this approach?

Correct Answer: D

Rationale: The correct answer is D: Cognitive-behavioral. This approach emphasizes the connection between thoughts, behaviors, and emotions. By focusing on recognizing dysfunctional behavior and thinking patterns and practicing more adaptive alternatives, the leader is applying cognitive restructuring and behavioral techniques, which are central to cognitive-behavioral theory. Choice A (Behavioral) focuses solely on observable behaviors without addressing thoughts. Choice B (Interpersonal) emphasizes relationships rather than cognitive restructuring. Choice C (Psychodynamic) focuses on unconscious processes and childhood experiences, not the explicit cognitive and behavioral changes seen in the given approach.

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