A client is admitted to a mental health unit because she was ...

[melly21297]

A client is admitted to a mental health unit because she was found trying to inject diluted feces into her hospitalized child's intravenous line. The client has a history of similar attempts of harming the child.
 
  The nurse would most likely suspect which of the following?
 
  A) Schizoid personality traits
  B) Factitious disorder imposed on another
  C) Functional neurologic symptoms
  D) Borderline personality disorder

Question 2

While assessing a client thought to have a factitious disorder, a nurse asks the client to describe when she felt nurtured as a child. Which response would the nurse interpret as supporting the client's diagnosis?
 
  A) I never felt nurtured or loved when I was growing up.
  B) The only time I felt loved and appreciated was when I made the honor roll at school.
  C) The only time I ever felt loved was when I was sick enough to miss school.
  D) I felt loved and accepted when my father apologized for spanking me so hard.

[livaneabi]

Answer to Question 1

Ans: B
A rare but dramatic disorder, factitious disorder imposed on another (previously called factitious disorder by proxy or Mnchausen's by proxy), involves a person who inflicts injury on another person. It is commonly a mother who inflicts injuries on her child to gain the attention of a health care provider through her child's injuries. The client's history does not reflect manifestations of schizoid personality traits or borderline personality disorder. Functional neurologic symptoms involve severe emotional distress or unconscious conflict expressed through physical symptoms.

Answer to Question 2

Ans: C
Individuals who are diagnosed with factitious disorders are thought to have often been abused as children and to have received nurturance only during times of illness. As a result, they try to recreate illness or injury in a desperate attempt to receive love and attention.