Somatic Symptom & Dissociative Disorder | Engage Mental Health RN

a nurse is caring for a client in an outpatient clinic.select the 3 interventions the nurse should plan to take - Encourage client to think positive thought - Assist the client in distinguishing between anxiety and physical manifestation - Provide relief measures for the manifestations the client is experiencing - Inform the client that nothing is medically wrong with them - Instruct client to request more invasive testing - Perform a lengthy exam of the client's condition

- Encourage client to think positive thought - Assist the client in distinguishing between anxiety and physical manifestation - Provide relief measures for the manifestations the client is experiencing

a nurse is caring for a client in an outpatient clinic.the nurse suspects the client may be experiencing dissociative amnesia. select the 3 interventions the nurse should plan to take - Inform the client that memory loss is a form of coping - Inform client that nothing is medically wrong with them - Provide relaxation techniques to the client when they are experiencing anxiety - Encourage client to hold an object and focus on it - Limit the amount of time for client to discuss concerns

- Inform the client that memory loss is a form of coping - Provide relaxation techniques to the client when they are experiencing anxiety - Encourage client to hold an object and focus on it

A nurse is planning care for a client who has somatic symptom disorder, which of the following actions should the nurse include? Teach the use of relaxation techniques. Provide symptomatic relief measures as prescribed Encourage the client not to talk with the nurse about somatic complaints Eliminate all physical symptoms Educate the client on new procedures that may be used to diagnose a physical condition Provide education on basic cognitive, behavioral and mindfulness interventions

- Teach the use of relaxation techniques - Provide symptomatic relief measures as prescribed - Provide education on basic cognitive, behavioral and mindfulness interventions

A nurse is preparing to provide a presentation about somatic symptom disorder and related disorders at a local high school. Which of the following would be correct about the prevalence of somatic symptom disorder in the general population? A. 4% to 6% B. 10% to 14% C. 18 to 20% D. 24% to 26%

A. 4% to 6%

a nurse on an inpatient unit is speaking with a client about their recent diagnosis of depersonalization/derealization disorder. the client asks the nurse, "what is the treatment for this disorder?" which of the following responses should the nurse make? A. A combination of psychotherapy and medication is often used. B. Electroconvulsive therapy is the only approved treatment. C. You need to ask your doctor about treatment options D. With medication and therapy. This condition will be cured.

A. A combination of psychotherapy and medication is often used.

a nurse is caring for a client who states they feel like they see themselves from outside of their body. the nurse should document that the client is experiencing which of the following manifestations? A. Depersonalization B. Delusion C. Hallucination D. Dissociative amnesia

A. Depersonalization

nurse is caring for a client who reports an extensive history of physical and sexual abuse as a child. The client states, "Sometimes I do things that I'm not aware of. I see pictures of myself on social media and I'm wearing things that I would never wear, and I am in locations where I would never go. It makes me feel so frustrated." The client is exhibiting manifestations of which of the following? A. Dissociative Identity Disorder B. Dissociative amnesia C. Depersonalization/derealization disorder D. Somatic symptom disorder

A. Dissociative identity disorder (DID)

a nurse in an outpatient clinic is working with a client who has been diagnosed with dissociative amnesia. which of the following client statements would be an indication that the client is likely to experience an exacerbation of manifestations related to dissociative amnesia A. Last week I learned that I have an aggressive form of skin cancer B. I sometimes find it difficult to concentrate in the morning C. There are times when I don't feel like eating much D. My family does not understand my condition, and it makes me feel lonely

A. Last week I learned that I have an aggressive form of skin cancer.

a charge nurse is discussing illness anxiety disorder with a newly licensed nurse. which of the following information should the charge nurse include? A. This disorder is most often diagnosed during adolescence. B. Clients who have this disorder can experience, suicidal thoughts . C. This disorder causes significant neurological manifestations, such as paralysis. D. Clients who have this disorder intentionally injure themselves to gain attention

B. Clients who have this disorder can experience suicidal thoughts.

a nurse is caring for a client who was sexually assaulted. the client is frustrated because they cannot recall any events or information related to the event. what condition is the client likely experiencing A. Somatic symptom disorder B. dissociative amnesia C. Depersonalization/derealization disorder D. Dissociative identity disorder

B. Dissociative amnesia

a nurse is planning care for a client who has dissociative identity disorder. which of the following actions should the nurse plan to take a. Refer the client for eye, movement desensitization and reprocessing EMDR therapy b. Provide one on one therapeutic interaction and support c. inform the client that their alter personalities are not real d. Teach the client thought-stopping techniques

B. Provide one-on-one therapeutic interaction and support.

A nurse is admitting a client who has somatic symptom disorder and reports recurrent episodes of back pain which of the following actions should the nurse take first A. Administer pain medication to the client. B. Educate the client about somatic symptom disorder. C. Build a therapeutic relationship with the client. D. encourage the client to participate in daily physical activity.

C. Build a therapeutic relationship with the client

A nurse is caring for an adult client who is recently involved in a motor vehicle accident. The client states, "I feel strange like I'm outside of my body, watching myself talk." Which of the following is the client likely experiencing? A. Factitious disorder B. Dissociative identity disorder C. Depersonalization/derealization D. Dissociative amnesia

C. Depersonalization/ derealization

A nurse is caring for a client who has illness anxiety disorder. The client says to the nurse,"I don't know what you can do for me. I have seen so many healthcare providers and no one has been able to help." Which of the following responses should the nurse make? A. You should focus on thinking more B. Why do you sound so hopeless? C. I can help you learn new coping skills to better manage your symptoms D. Tell me why you are here if nobody can help you

C. I can help you learn new coping skills to better manage your symptoms

a nurse is caring for a client who has somatic symptom disorder. which of the following assessments is the nurse's priority? a. Depression rating scale b. anxiety level c. thoughts of self-harm or suicide d. the presence of auditory or visual hallucinations

C. Thoughts of self-harm or suicide

a nurse is caring for a client who has somatic symptom disorder and reports frequent abdominal pain. which of the following responses should the nurse make? A. There is nothing wrong with your abdomen. B Your abdominal pain isn't real it is imagined. C. What has worked in the past to relieve the pain? D. Haven't several doctors determined your abdomen is fine?

C. What has worked in the past to relieve the pain?

a nurse is caring for a client who has dissociative identity disorder. in the morning, the client was pleasant and cooperative. however, when the nurse goes to administer lunch time medications, the client is angry and refuses medication, stating "I want to die". which of the following actions should the nurse take? a. Instruct the client that they must take their medication b. Request another nurse assess the client c. Stay with the client and ensure they are safe d. Ask if the client can switch into a different alter

C. stay with a client and ensure they are safe

a nurse is caring for a client who has been diagnosed with dissociative identity disorder. The client develops an alter personality when discussing the trauma. How should the nurse respond when this occurs? A. Inform the client that the nurse will not work with them until they return from their alter state. B. Flood the client with data from the previous trauma. C. Encourage the client not to switch to the alter personality. D. Display empathetic listening and keep the client comfortable and safe

D. Display empathetic listening and keep the client comfortable and safe.

a newly licensed nurse asks the charge nurse on a mental health unit which age groups are impacted by dissociative identity disorder. which of the following responses should the charge nurse make A. Dissociative identity disorder is only diagnosed after 18 years of age B. dissociative identity disorder is not diagnosed in older adults C. dissociative identity disorder disappears as clients become older adults D. Dissociative identity disorder can be present throughout the lifespan

D. Dissociative identity disorder can be present throughout the lifespan.

a nurse is discussing the risk factors for developing a dissociative disorder with a client. which of the following would place the client at a higher risk for developing a dissociative disorder a. Demonstrating poor concentration b. Having a patient diagnosed with major depressive disorder c. Reported difficulties with their academic career d. Experiencing physical abuse as a child

D. Experiencing physical abuse as a child.

a nurse is caring for a client who has a new diagnosis of dissociative identity disorder. which of the following medication should the nurse expect the provider to prescribe a. Loratadine b. Lithium c. Aripiprazole d. Fluoxetine

D. Fluoxetine.

a nurse is providing care to a client who is experiencing a loss of motor strength with no identifiable physical cause. the nurse should suspect the client to be diagnosed with which of the following disorders a. Somatic symptom disorder b. Illness, anxiety disorder c. Factitious disorder d. Functional neurological symptom disorder

D. Functional neurological symptom disorder.

a nurse is discussing somatic symptom disorder with a newly licensed nurse. which of the following should the nurse identify as a risk factor for this disorder a. A history of ADHD b. A family history of borderline personality disorder c. A physical disability d. A history of alcohol use disorder

D. History of alcohol use disorder.

a nurse is caring for a client who seeks care frequently due to fear of having a serious illness. after learning that the laboratory results showed no abnormalities, the client begins to hyperventilate. the client is exhibiting manifestations of which of the following disorder? A. Functional neurological symptom disorder B. Factitious disorder C. Somatic symptom disorder D. Illness, anxiety disorder

D. Illness Anxiety Disorder

a nurse is providing education to a client and their partner about dissociative identity disorder. which of the following information should the nurse include in the teaching a. manifestations of dissociation may include depersonalization and lack of access to memories b. dissociative manifestations are consciously displayed in an attempt to attract attention from others c. ignoring dissociative manifestations will alleviate the client's stress and anxiety d. dissociative manifestations are a type of hallucination and indicate schizophrenia

a. manifestations of dissociation may include depersonalization and lack of access to memories