Ch 17

When discussing somatic disorders from a cultural perspective, which statement is true? A Somatic disorders are rarely observed in males. B Somatic symptoms vary widely from culture to culture. C Underdeveloped countries rarely tolerate somatic disorders. D Secondary gain is seldom a factor in somatic disorders.

B

A class of medications commonly prescribed for somatic disorders is A mood stabilizers. B antidepressants. C anxiolytics. D antipsychotics.

C

Studies have shown a correlation between mental disorders and which medical condition? A Psoriasis B Asthma C Chronic renal failure D Cardiovascular disease

D

Which disorder is characterized by the client's misinterpretation of physical sensations or feelings? A Somatic disorder B Factitious disorder C Illness anxiety disorder D Conversion disorder

C

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 A court date this week for drunk driving B Was adopted at the age of 5 years C A history of physical abuse by his stepfather D A history of oppositional-defiant disorder

A

A physician describes a client as "malingering." The nurse knows this means that the client is demonstrating which behavior? A Falsely claiming to have symptoms.Malingering is a consciously motivated act to deceive based on the desire for material gain. B Experiencing symptoms that cannot be explained medically. C Experiencing symptoms that have a physiological basis. D Seeking medication to ease pain of psychological origin.

A

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? A Regularly discuss their feelings about the client during the unit's interprofessional care meetings. B Attend in-services that focus on the various aspects of somatic disorders. C Rotate care of the client among the entire nursing department staff to minimize the frustration. D Provide a unified approach to the client's behavior so as to manage and lessen the barrier itself.

A

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?" A "Your legs don't work because your brain is screwed up." B "Your emotional distress is being expressed as a physical symptom." C "You are making up your symptoms as a cry for help." D "You are overly anxious about having a severe illness."

B

The primary difference between a factitious disorder and other somatic disorders is described in which statement? A Factitious disorders respond well to confrontation as a primary therapeutic technique. B Factitious disorders have a symptomatology that is actually controlled by the client. C Factitious disorders have their origins in depression and anxiety. D Factitious disorders are always self-directed.

B

What therapeutic intervention should be prescribed for a client diagnosed with a somatoform disorder? A Steering conversation away from the client's feelings B Conveying an interest in the client rather than in the symptoms C Encouraging the client to use benzodiazepines liberally D Encouraging the client to rely on the nurse to meet the client's needs

B

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? A Regression B Depersonalization C La belle indifference D D issociative amnesia

C

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? A Client will walk unassisted within 1 week. B Client will return to a pre-illness level of functioning within 2 weeks. C Client will be able to state two new effective coping skills within 2 weeks. D Client will assume full self-care within 3 weeks.

C

Which item of data should be routinely gathered during assessment of a client with a somatoform disorder? A Potential for violence B Level of confusion C Dependence on medication D Personal identity disturbance

C

Which mental health disorder is an example of a somatoform disorder? A Depersonalization B Dissociative fugue C Conversion disorder D Dissociative identity disorder

C

Which nursing diagnosis should be investigated for clients with somatoform disorders? A Deficient fluid volume B Self-care deficit C Ineffective coping D Delayed growth and development

C

Which statement made by a client would support the diagnosis of Illness anxiety disorder? A "I feel confused and disoriented." B "I feel as though I'm outside my body watching what is happening." C "I know I have cancer, but the doctors just cannot find it." D "I woke up one morning, and my left leg was paralyzed from the knee down."

C

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? A "A combination of antianxiety and antidepressant therapy is the most effective therapy." B "Aversion therapy is often used because in effect you are punishing yourself by not being able to walk." C "Modeling will be used; as you see desired behaviors modeled by the therapist you will be able to also achieve the expected outcome." D "Cognitive-behavioral therapy (CBT) has been shown to consistently provide the best outcome for these types of disorders."

D

It is most important for the nurse to employ which holistic strategy when managing clients diagnosed with a somatization disorder? A Utilizing many different therapeutic strategies or modalities for enhanced coping B Involving every member of the family as well as the patient in treatment C Incorporating spirituality and religion into treatmentI D Considering all dimensions of the patient, including biological, psychological, and sociocultural

D

What statement by a client would indicate that goals for treatment for a somatization disorder are being achieved? A "I feel less anxiety than before." B "My memory is better than it was a month ago." C "I take my medications just as the physician prescribed." D "I don't think about my symptoms all the time as I used to."

D

Which statement about somatoform disorders is true? A An organic basis exists for each group of disorders. B Nurses perceive clients with these disorders as easy to care for. C No relation exists between these disorders and early childhood loss or trauma. D Clients lack awareness of the relations among symptoms, anxiety, and conflicts.

D