Somatic Disorders Adaptive Quizzing

Which safety intervention would the nurse include in a plan of care for a client with somatic disorder who reports loss of vision? Select all that apply. One, some, or all responses may be correct. 1. Apply restraints. 2. Administer sedatives. 3. Put the call light within reach. 4. Orient the client to surroundings. 5. Use therapeutic communication

3. Put the call light within reach. 4. Orient the client to surroundings.

Which action would the nurse take when caring for a client with a conversion disorder who has paralysis in the lower legs? 1. Discuss topics other than the paralysis. 2. Explain the reason for the physical problem. 3. Ask how the client feels about being paralyzed. 4. Encourage the client to slowly walk around the room.

Discuss topics other than the paralysis.

Which description of anxiety is associated with conversion disorder? 1. Free-floating and diffuse 2. Relieved by the symptom 3. Consciously felt by the client 4. Projected onto the environment

Relieved by the symptom

Which reaction toward the physical symptom would the nurse observe in a client with conversion disorder? 1. Anger 2. Apathy 3. Anxiety 4. Agitation

Apathy

Which action would the nurse take for a client who is admitted with conversion disorder? 1. Talk about the physical problems. 2. Explore ways to verbalize feelings. 3. Explain how stress caused the physical symptoms. 4. Focus on the client's concerns regarding the symptoms.

Explore ways to verbalize feelings.

Which approach would the nurse use for the involved parent who has a child diagnosed with Munchausen syndrome by proxy? 1. Confrontation 2. Open communication 3. Health teaching about childrearing 4. Validation of the child's physical status

Open communication

Which sequela would the nurse expect in a client with a conversion disorder who is experiencing paralysis of a leg? 1. Experience a spread of the paralysis to other body parts 2. Require continuous psychiatric treatment to maintain independent function 3. Recover use of the affected leg but, under stress, to again experience these symptoms 4. Follow an unpredictable emotional course in the future, depending on exposure to stress

Recover use of the affected leg but, under stress, to again experience these symptoms

Which cause would the nurse conclude is the underlying reason a client with conversion disorder is unable to walk? 1. Nondisabling illness 2. Enjoyment of being sick 3. Loss of contact with reality 4. Result of intrapsychic conflict

Result of intrapsychic conflict

Which verbalization from a client with a dissociative identity disorder, who is to be discharged after a 2-week hospitalization, would indicate effectiveness of the short-term therapy? 1. The ability to deal openly with feelings 2. That many of the personalities can be ignored 3. The need for long-term outpatient psychotherapy 4. That the personalities serve no protective purpose

The need for long-term outpatient psychotherapy

Which client statement is an example of a somatic delusion? 1. "I wear this coat all the time to keep them from x-raying my organs." 2. "The president of France and I will be announcing our engagement soon." 3. "My heart stopped beating 3 days ago, and now my lungs are rotting." 4. "The government is sending assassins to kill me because I know too much."

"My heart stopped beating 3 days ago, and now my lungs are rotting."

Which question would the nurse ask the client with conversion disorder who experiences a feeling of weakness and is unable to move the right arm while listening to instructions for a group project? 1. "Exactly when did the weakness begin?" 2. "Is this similar to what you usually experience?" 3. "Would you like to leave the group for a while?" 4. "What emotion were you feeling before you felt the weakness?"

"What emotion were you feeling before you felt the weakness?"

Which finding would the nurse observe in a client with conversion disorder who is unable to move the right arm? 1. Feeling depressed 2. Appearing composed 3. Demonstrating free-floating anxiety 4. Exhibiting tension when discussing symptoms

Appearing composed

Which factor would the nurse consider when planning care for a client with conversion disorder? 1. It is a physiologic response to stress. 2. This is a conscious defense against anxiety. 3. This is an intentional attempt to gain attention. 4. It is an unconscious means of reducing stress.

It is an unconscious means of reducing stress.