ATI LPN
ATI LPN Mental Health Exam V Questions
Extract:
History and Physical
Week 1:
Abdominal pain
Anorexia
Child has had seven hospitalizations in the past 6 months.
Nurses' Notes
Week 1:
Parent brings school-age child to clinic. States, "My child is always sick. Their stomach hurts all the time. Something is wrong with them. This has been going on for the past 3 months. We've been to several doctors, and they can't find anything wrong." Parent reports that child experiences frequent abdominal pain and has a fever. Child appears emaciated and withdrawn with eyes downcast and looking at floor. Skin is pale with decreased turgor.
Week 3:
Parent brings child back to clinic. Child is vomiting and holding abdomen. Child states, "My stomach hurts so bad." Child looking away from parent. Parent states, "I have taken my child out of school and am home schooling them now. They are too ill to go to school and require my care." Parent is defensive when asked questions related to child's manifestations. Parent is demanding that child be admitted to acute care facility to "have tests run."
Question 1 of 5
A nurse is caring for a school-age client in an outpatient clinic. Exhibits The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Withdrawn behavior, frequent hospitalizations, unexplained pain, and health preoccupation suggest factitious disorder, where clients seek medical attention for psychological reasons. Trauma is not specific.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
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Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: