Mental and Physical Disabilities

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NCLEX-PN › Mental and Physical Disabilities

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1

Identify the disorder that presents the following signs and symptoms: numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause.

Conversion disorder

CORRECT

Bipolar disorder

0

Stiff person syndrome

0

Schizophrenia

0

Explanation

Conversion disorder is typified by numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause. Schizophrenia, bipolar disorder, and stiff person syndrome all have medically identifiable causes.

2

What is the best approach towards dealing with a delirious patient?

Frequent reorientation to time, place, and name.

CORRECT

Frequent sedation with antipsychotics

0

Frequent sedation with benzodiazepenes

0

Frequent 4-point restraints

0

Explanation

Delirium is an organic dysfunction of the brain usually seen in sick patients post-op. These patients need frequent reorientation to name, time, and place until the delirium resolves. Agitation, confusion, and difficult to control behavior is typically controlled with antipsychotics, however, they are not first line treatment. Restraints should be avoided at all costs.