NCLEX : Mental and Physical Disabilities

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #1 : Mental And Physical Disabilities

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.

Possible Answers:

Schizophrenia

Conversion disorder

Stiff person syndrome

Bipolar disorder

Correct answer:

Conversion disorder

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. 

Example Question #2 : Mental And Physical Disabilities

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

Possible Answers:

Frequent 4-point restraints

Frequent sedation with antipsychotics

Frequent reorientation to time, place, and name.

Frequent sedation with benzodiazepenes

Correct answer:

Frequent reorientation to time, place, and name.

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.

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