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    HESI RN Psychiatric and Mental Health Proctored Exam

    The charge nurse of the psychiatric unit observes clients in the day area. Which client is exhibiting symptoms of a conversion disorder?

    Explanation & Rationale

    Choice A reason: Shortness of breath and diaphoresis suggest a medical or anxiety-related condition, not conversion disorder, which involves neurological symptoms without organic cause. Sudden blindness without pathology better fits conversion disorder, making this incorrect for identifying conversion disorder symptoms in the day area.Choice B reason: Chronic headache and back pain are often somatic but less specific to conversion disorder, which typically presents with acute neurological symptoms like blindness. Pain has multiple causes, making this less definitive and incorrect compared to sudden, unexplained blindness as a conversion disorder symptom.Choice C reason: Extreme anxiety about going outside indicates agoraphobia, an anxiety disorder, not conversion disorder, which manifests as neurological deficits like blindness without organic cause. Anxiety is psychological, not somatic, making this incorrect for identifying conversion disorder in the observed clients.Choice D reason: Sudden blindness without organic pathology is a classic symptom of conversion disorder, where psychological stress manifests as neurological deficits. This aligns with psychiatric diagnostic criteria for conversion disorder, making it the correct choice for the client exhibiting these symptoms in the day area.

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