Somatic Symptom and Dissociative Disorders Assessment RN

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 combination of psychotherapy and medication is often used."

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?

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

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 health care providers and no one has been able to help." Which of the following responses should the nurse make?

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

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?

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

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?

"What has worked in the past to relieve the pain?"

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?

Build a therapeutic relationship with the client.

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?

Dissociative amnesia

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?

4% to 6%

A nurse is caring for an adult client who was recently involved in a motor vehicle accident. The client states, "I feel strange, like I am outside of my body watching myself talk." Which of the following is the client likely experiencing?

Depersonalization/derealization

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 history of alcohol use disorder

A charge nurse is discussing illness anxiety disorder with a newly licensed nurse. Which of the following information should the charge nurse include?

Clients who have this disorder can experience suicidal thoughts.

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?

Depersonalization

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?

Display empathetic listening and keep the client comfortable and safe.

A 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 am 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 disorders?

Dissociative identity disorder

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

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

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?

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 medications should the nurse expect the provider to prescribe?

Fluoxetine

A nurse is providing care to a client who is experiencing a loss of motor strength with no identifiable physical cause. The nurse would suspect the client to be diagnosed with which of the following disorders?

Functional neurological symptom 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 disorders?

Illness anxiety disorder

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 the client that nothing is medically wrong with them. Provide relaxation techniques to the client when they are experiencing anxiety. Encourage the client to hold an object and focus on it. Limit the amount of time for the 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 the client to hold an object and focus on it.

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?

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

A nurse is planning care for a client who has dissociative identity disorder. Which of the following actions should the nurse plan to take?

Provide one-on-one therapeutic interaction and support.

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?

Stay with the client and ensure they are safe.

A nurse is planning care for a client who has somatic symptom disorder. Which of the following actions should the nurse include? (Select all that apply.) 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 caring for a client who has somatic symptom disorder. Which of the following assessments is the nurse's priority?

Thoughts of suicide or self-harm