A client has blindness that is diagnosed as a conversion ...

[stevenposner]

A client has blindness that is diagnosed as a conversion disorder. The best nursing diagnosis would be:
 
  1. Visual impairment
  2. Panic level anxiety
  3. Disturbed sensory perception
  4. Denial due to a medical condition

Question 2

A client has blindness that was diagnosed as a conversion disorder. The best nursing intervention would be to:
 
  1. Confront the client about malingering
  2. Assist him to make an appointment with an ophthalmologist
  3. Express concern about quality of life as a blind person
  4. Provide nursing care in a matter-of-fact manner

[yotaSR5]

Answer to Question 1

ANS: 3
The diagnosis of conversion disorder is not a medical problem with vision; therefore option 1 is incorrect. Options 3 and 4 are incorrect since there is no evidence to support panic or a medical condition causing denial.

Answer to Question 2

ANS: 4
Option 1 is incorrect because the client is not feigning illness. An appointment with an eye doctor is not needed, so option 2 is incorrect. The person is not permanently blind, so option 3 is incor-rect. Interacting in a matter-of-fact way reduces any secondary reward.