NUR 384 EXAM 3 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW!!|LATEST UPDATE
|GUARANTEED PASS
Which are examples of primary and secondary gains that clients diagnosed with SSD: predominately
pain, may experience?
1. Primary: chooses to seek a new doctor; Secondary: euphoric feeling from new medications
2. Primary: euphoric feeling from new medications; Secondary: chooses to seek a new doctor
3. Primary: receives get-well cards; Secondary: pain prevents attending stressful family reunion
4. Primary: pain prevents attending stressful family reunion; Secondary: receives get-well cards
4. Primary: pain prevents attending stressful family reunion; Secondary: receives get-well cards
A nursing instructor is teaching about the etiology of IAD from a psychodynamic perspective. What
student statement about clients diagnosed with this disorder indicates that learning has occurred?
1. "They tend to have a familial predisposition to this disorder."
2. "When the sick role relieves them from stressful situations, their physical symptoms are reinforced."
3. "They misinterpret and cognitively distort their physical symptoms."
4. "They express personal worthlessness through physical symptoms, because physical problems are
more acceptable than psychological problems."
4. "They express personal worthlessness through physical symptoms, because physical problems are
more acceptable than psychological problems."
An inpatient client is newly diagnosed with dissociative identity disorder (DID) stemming from severe
childhood sexual abuse. Which nursing intervention takes priority?
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,1. Encourage exploration of sexual abuse.
2. Encourage guided imagery.
3. Establish trust and rapport.
4. Administer antianxiety medications.
3. Establish trust and rapport.
A client diagnosed with DID switches personalities when confronted with
destructive behavior. The nurse recognizes that this dissociation serves which function?
1. It is a means to attain secondary gain.
2. It is a means to explore feelings of excessive and inappropriate guilt.
3. It serves to isolate painful events so that the primary self is protected.
4. It serves to establish personality boundaries and limit inappropriate impulses.
3. It serves to isolate painful events so that the primary self is protected.
A client is diagnosed with DID. What is the primary goal of therapy for this
client?
1. To recover memories and improve thinking patterns
2. To prevent social isolation
3. To decrease anxiety and need for secondary gain
4. To collaborate among sub-personalities to improve functioning
4. To collaborate among sub-personalities to improve functioning
According to the DSM-5 diagnostic criteria for dissociative amnesia (DA), what symptom would be
essential to meet the criteria for the subcategory of dissociative fugue?
1. An inability to recall important autobiographical information
2. Clinically significant distress in social and occupational functioning
3. Sudden unexpected travel or bewildered wandering
4. "Blackouts" related to alcohol toxicity
3. Sudden unexpected travel or bewildered wandering
Which situation is an example of selective amnesia?
1. A client cannot relate any lifetime memories.
2. A client can describe driving to Ohio but cannot remember the car accident that occurred.
3. A client often wanders aimlessly after sunset.
4. A client cannot provide personal demographic information during admission assessment.
2. A client can describe driving to Ohio but cannot remember the car accident that occurred.
Neurological tests have ruled out pathology in a client's sudden lower-extremity paralysis. Which
nursing care should be included for this client?
2|Page
,1. Deal with physical symptoms in a detached manner.
2. Challenge the validity of physical symptoms.
3. Meet dependency needs until the physical limitations subside.
4. Encourage a discussion of feelings about the lower-extremity problem.
1. Deal with physical symptoms in a detached manner.
Which combination of diagnoses and appropriate pharmacological treatments are correctly matched?
1. SSD: predominantly pain; treated with venlafaxine (Effexor)
2. IAD; treated with cefadroxil (Duricef)
3. Conversion disorder; treated with cyclobenzaprine (Flexeril)
4. Depersonalization-derealization disorder; treated with mometasone (Elocom)
1. SSD: predominantly pain; treated with venlafaxine (Effexor)
A nurse is reviewing progress notes on a newly admitted client. One progress note reveals that the client
purposefully inserted a contaminated catheter into the urethra, leading to a
urinary tract infection. The nurse recognizes this behavior as characteristic of which mental
disorder?
1. Illness anxiety disorder
2. Factitious disorder
3. Functional neurological symptom disorder
4. Depersonalization-derealization disorder
2. Factitious disorder
A nursing instructor is teaching about the DSM-5 diagnosis of depersonalization-derealization disorder
(D-DD). Which student statement indicates a need for further instruction?
1. "Clients with this disorder can experience emotional and/or physical numbing and a distorted sense of
time."
2. "Clients with this disorder can experience unreality or detachment with respect to their
surroundings."
3. "During the course of this disorder, individuals or objects are experienced as dreamlike, foggy, lifeless,
or visually distorted."
4. "During the course of this disorder, the client is out of touch with reality and is impaired in social,
occupational, or other areas of functioning."
4. "During the course of this disorder, the client is out of touch with reality and is impaired in social,
occupational, or other areas of functioning."
A client is diagnosed with IAD. Which of the following symptoms is the client most likely to exhibit?
(Select all that apply.)
1. Obsessive-compulsive behaviors
2. Pseudocyesis
3|Page
, 3. Anxiety
4. Flat affect
5. Depression
1. Obsessive-compulsive behaviors
3. Anxiety
5. Depression
A client is diagnosed with functional neurological symptom disorder (FNSD). Which of the following
symptoms is the client most likely to exhibit? (Select all that apply.)
1. Anosmia
2. Anhedonia
3. Akinesia
4. Aphonia
5. Amnesia
1. Anosmia
3. Akinesia
4. Aphonia
A client is exhibiting symptoms of generalized amnesia. Which of the following questions should the
nurse ask to confirm this diagnosis? (Select all that apply.)
1. "Have you taken any new medications recently?"
2. "Have you recently traveled away from home?"
3. "Have you recently experienced any traumatic event?"
4. "Have you ever felt detached from your environment?"
5. "Have you had any history of memory problems?"
1. "Have you taken any new medications recently?"
3. "Have you recently experienced any traumatic event?"
5. "Have you had any history of memory problems?"
The DSM-5 diagnosis of functional neurological symptom disorder can also be identified as
____________________ disorder.
conversion
Family dynamics are thought to be a major influence in the development of
anorexia nervosa. Which statement regarding a client's home environment should a nurse associate
with the development of anorexia nervosa?
1. The home environment maintains loose personal boundaries.
2. The home environment places an overemphasis on food.
3. The home environment is overprotective and demands perfection.
4. The home environment condones corporal punishment.
4|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW!!|LATEST UPDATE
|GUARANTEED PASS
Which are examples of primary and secondary gains that clients diagnosed with SSD: predominately
pain, may experience?
1. Primary: chooses to seek a new doctor; Secondary: euphoric feeling from new medications
2. Primary: euphoric feeling from new medications; Secondary: chooses to seek a new doctor
3. Primary: receives get-well cards; Secondary: pain prevents attending stressful family reunion
4. Primary: pain prevents attending stressful family reunion; Secondary: receives get-well cards
4. Primary: pain prevents attending stressful family reunion; Secondary: receives get-well cards
A nursing instructor is teaching about the etiology of IAD from a psychodynamic perspective. What
student statement about clients diagnosed with this disorder indicates that learning has occurred?
1. "They tend to have a familial predisposition to this disorder."
2. "When the sick role relieves them from stressful situations, their physical symptoms are reinforced."
3. "They misinterpret and cognitively distort their physical symptoms."
4. "They express personal worthlessness through physical symptoms, because physical problems are
more acceptable than psychological problems."
4. "They express personal worthlessness through physical symptoms, because physical problems are
more acceptable than psychological problems."
An inpatient client is newly diagnosed with dissociative identity disorder (DID) stemming from severe
childhood sexual abuse. Which nursing intervention takes priority?
1|Page
,1. Encourage exploration of sexual abuse.
2. Encourage guided imagery.
3. Establish trust and rapport.
4. Administer antianxiety medications.
3. Establish trust and rapport.
A client diagnosed with DID switches personalities when confronted with
destructive behavior. The nurse recognizes that this dissociation serves which function?
1. It is a means to attain secondary gain.
2. It is a means to explore feelings of excessive and inappropriate guilt.
3. It serves to isolate painful events so that the primary self is protected.
4. It serves to establish personality boundaries and limit inappropriate impulses.
3. It serves to isolate painful events so that the primary self is protected.
A client is diagnosed with DID. What is the primary goal of therapy for this
client?
1. To recover memories and improve thinking patterns
2. To prevent social isolation
3. To decrease anxiety and need for secondary gain
4. To collaborate among sub-personalities to improve functioning
4. To collaborate among sub-personalities to improve functioning
According to the DSM-5 diagnostic criteria for dissociative amnesia (DA), what symptom would be
essential to meet the criteria for the subcategory of dissociative fugue?
1. An inability to recall important autobiographical information
2. Clinically significant distress in social and occupational functioning
3. Sudden unexpected travel or bewildered wandering
4. "Blackouts" related to alcohol toxicity
3. Sudden unexpected travel or bewildered wandering
Which situation is an example of selective amnesia?
1. A client cannot relate any lifetime memories.
2. A client can describe driving to Ohio but cannot remember the car accident that occurred.
3. A client often wanders aimlessly after sunset.
4. A client cannot provide personal demographic information during admission assessment.
2. A client can describe driving to Ohio but cannot remember the car accident that occurred.
Neurological tests have ruled out pathology in a client's sudden lower-extremity paralysis. Which
nursing care should be included for this client?
2|Page
,1. Deal with physical symptoms in a detached manner.
2. Challenge the validity of physical symptoms.
3. Meet dependency needs until the physical limitations subside.
4. Encourage a discussion of feelings about the lower-extremity problem.
1. Deal with physical symptoms in a detached manner.
Which combination of diagnoses and appropriate pharmacological treatments are correctly matched?
1. SSD: predominantly pain; treated with venlafaxine (Effexor)
2. IAD; treated with cefadroxil (Duricef)
3. Conversion disorder; treated with cyclobenzaprine (Flexeril)
4. Depersonalization-derealization disorder; treated with mometasone (Elocom)
1. SSD: predominantly pain; treated with venlafaxine (Effexor)
A nurse is reviewing progress notes on a newly admitted client. One progress note reveals that the client
purposefully inserted a contaminated catheter into the urethra, leading to a
urinary tract infection. The nurse recognizes this behavior as characteristic of which mental
disorder?
1. Illness anxiety disorder
2. Factitious disorder
3. Functional neurological symptom disorder
4. Depersonalization-derealization disorder
2. Factitious disorder
A nursing instructor is teaching about the DSM-5 diagnosis of depersonalization-derealization disorder
(D-DD). Which student statement indicates a need for further instruction?
1. "Clients with this disorder can experience emotional and/or physical numbing and a distorted sense of
time."
2. "Clients with this disorder can experience unreality or detachment with respect to their
surroundings."
3. "During the course of this disorder, individuals or objects are experienced as dreamlike, foggy, lifeless,
or visually distorted."
4. "During the course of this disorder, the client is out of touch with reality and is impaired in social,
occupational, or other areas of functioning."
4. "During the course of this disorder, the client is out of touch with reality and is impaired in social,
occupational, or other areas of functioning."
A client is diagnosed with IAD. Which of the following symptoms is the client most likely to exhibit?
(Select all that apply.)
1. Obsessive-compulsive behaviors
2. Pseudocyesis
3|Page
, 3. Anxiety
4. Flat affect
5. Depression
1. Obsessive-compulsive behaviors
3. Anxiety
5. Depression
A client is diagnosed with functional neurological symptom disorder (FNSD). Which of the following
symptoms is the client most likely to exhibit? (Select all that apply.)
1. Anosmia
2. Anhedonia
3. Akinesia
4. Aphonia
5. Amnesia
1. Anosmia
3. Akinesia
4. Aphonia
A client is exhibiting symptoms of generalized amnesia. Which of the following questions should the
nurse ask to confirm this diagnosis? (Select all that apply.)
1. "Have you taken any new medications recently?"
2. "Have you recently traveled away from home?"
3. "Have you recently experienced any traumatic event?"
4. "Have you ever felt detached from your environment?"
5. "Have you had any history of memory problems?"
1. "Have you taken any new medications recently?"
3. "Have you recently experienced any traumatic event?"
5. "Have you had any history of memory problems?"
The DSM-5 diagnosis of functional neurological symptom disorder can also be identified as
____________________ disorder.
conversion
Family dynamics are thought to be a major influence in the development of
anorexia nervosa. Which statement regarding a client's home environment should a nurse associate
with the development of anorexia nervosa?
1. The home environment maintains loose personal boundaries.
2. The home environment places an overemphasis on food.
3. The home environment is overprotective and demands perfection.
4. The home environment condones corporal punishment.
4|Page
