Clients who experience sexual assault often experience increased ...

[joe]

Clients who experience sexual assault often experience increased rates of mental disorder. Which risk factor would apply to a client who was sexually assaulted?
 
  1. Physical environment
  2. Social environment
  3. Social class
  4. Ethnicity

Question 2

The nurse is caring for a client with a history of admissions to several hospitals over the last several years. Each hospitalization was for a different disorder in which there was no physical evidence.
 
  The medical record indicates the client is a pathological liar. Which of the following disorders does the client suffer from? 1. A somatoform disorder
  2. Factitious disorder by proxy
  3. Adult factitious disorder
  4. Dissociative identity disorder

[sarajane1989]

Answer to Question 1

2
Rationale: Higher levels of stress associated with particular events in one's social environment are associated with an increased chance or probability of mental disorder. A traumatic event, such as sexual assault, may produce adverse mental health consequences. Ethnicity, the physical environment, and social class are risk factors not associated with sexual assault.

Answer to Question 2

3
Rationale: When the disorder is severe, chronic, and unremittinginvolvin g repeated hospitalizations, traveling between health care providers and health care facilities, and pathological lying of an intriguing and fantastic nature (termed pseudologica fantastica)it is often referred to as Munchausen syndrome or adult factitious disorder (AFD). Factitious disorder by proxy sometimes called Munchausen by proxy syndrome (MBPS) occurs when parents or caregivers deliberately induce signs of an illness in another person, usually their own child. There is no evidence the client is suffering from dissociative identity disorder or a somatoform disorder.

[joe]

TYSM

[scottmt]

Excellent