evolve Ch 17 Somatic symptom disorders pre/post/NCLEX

Which statement made by a client would support the diagnosis of Illness anxiety disorder?

"I know I have cancer, but the doctors just can't find it."

Which statement about somatoform disorders is true?

Clients lack awareness of the relations among symptoms, anxiety, and conflicts.

Which item of data should be routinely gathered during assessment of a client with a somatoform disorder?

Dependence on medication

Which nursing diagnosis should be investigated for clients with somatoform disorders?

Ineffective coping

Emily asks you what kind of therapy will help her. Based on current knowledge, what form of therapy is most appropriate for a client diagnosed with a conversion disorder?

"Cognitive-behavioral therapy (CBT) has been shown to consistently provide the best outcome for these types of disorders."

A class of medications commonly prescribed for somatic disorders is

Anxiolytics

Studies have shown a correlation between mental disorders and which medical condition?

Cardiovascular disease

Which disorder is characterized by the client's misinterpretation of physical sensations or feelings?

Illness anxiety disorder

When discussing somatic disorders from a cultural perspective, which statement is true?

Somatic symptoms vary widely from culture to culture

What statement by a client would indicate that goals for treatment for a somatization disorder are being achieved?

"I don't think about my symptoms all the time like I used to."

Which mental health disorder is an example of a somatoform disorder?

Conversion disorder

The primary difference between a factitious disorder and other somatic disorders is described in which statement?

Factitious disorders have a symptomatology that is actually controlled by the client.

It is most important for the nurse to employ which holistic strategy when managing clients diagnosed with a somatization disorder?

Considering all dimensions of the patient, including biological, psychological, and sociocultural

A physician describes a client as "malingering." The nurse knows this means that the client is demonstrating which behavior?

Falsely claiming to have symptoms

Ever since participating in a village raid where explosives were used, a military veteran has been unable to walk. After all diagnostic testing were negative for any physical abnormalities, the client was diagnosed with conversion disorder. What is the nurse's best response when asked by the client, "Why can't I walk?"

"Your emotional distress is being expressed as a physical symptom."

Which client is most likely to initially demonstrate behaviors suggesting a somatic disorder?

23-year-old female

A 23 years old is admitted with reports of abdominal pain, dizziness, and headache. When told that all the results of a physical workup have been negative, the client shares, "Now I am having back pain." Which notation in the client's medical record may alert the nurse to the possibility of malingering?

A court date this week for drunk driving

What would be an appropriate expected outcome of the treatment plan for a client diagnosed with a conversion disorder that interferes with the ability to walk effective?

Client will be able to state two new effective coping skills within 2 weeks.

What therapeutic intervention should be prescribed for a client diagnosed with a somatoform disorder?

Conveying an interest in the client rather than in the symptoms

A woman suddenly finds she cannot see but seems unconcerned about her symptom and tells her husband, "Don't worry, dear. Things will all work out." Her attitude is an example of what process?

La belle indifference

Providing care to a client diagnosed with a somatization disorder can be frustrating owing to the client's lack of an organic illness. In order to best manage this barrier to care the staff should implement which personal intervention?

Regularly discuss their feelings about the client during the unit's interprofessional care meetings.