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MH: Somatic Symptoms Disorders and Related Disorders

Terms in this set (38)

"Let's review all the medications you currently take."
A client at a general medical clinic tells the nurse, "I have so many ailments that I need to see six different doctors. None of them has discovered what is really wrong with me." Which comment should the nurse offer next?
Somatization
A newly immigrated Brazilian widow reports having headaches and backaches "almost every day" and says she "can't sleep at night." The client denies feeling anxious or depressed but shares that "none of the tests were able to find the cause of my problems." Considering this history and assessment data, which factor should be the focus of additional questioning?
The client is falsely claiming to have symptoms.
A health care provider describes a client as "malingering." What does the nurse understand this term to mean?
The client will be able to state two new effective coping skills within 2 weeks.
Which is the most appropriate expected outcome for a client diagnosed with a somatic disorder that has resulted in leg paralysis?
Feelings of unreality

Amnesia
A client is diagnosed with disturbed personal identity. What signs and symptoms does the nurse expect to find in the client? Select all that apply.
Illness anxiety disorder
An anxious client has frequent abdominal cramps and believes it is because of some underlying serious illness. With which disorder does the nurse expect the client to be diagnosed?
Ineffective coping
The nurse is caring for a client diagnosed with a somatic symptom disorder. The nurse learns that the client is not able to meet occupational, family, or social responsibilities due to somatic symptoms. What is the most appropriate nursing diagnosis in this scenario?
"I find myself more fascinated and engaged with this client than others."
A client diagnosed with dissociative identity disorder is hospitalized on an acute care psychiatric unit after a suicide attempt. During a team meeting, which staff nurse's comment should prompt the nursing supervisor to intervene?
Functional neurological disorder
The nurse is assessing a client who casually says, ''I woke up this morning and couldn't move my arm.'' There is no confirmed diagnosis of physical pathophysiology. With which disorder does the nurse expect the client to be diagnosed?
La belle indifférence
A woman suddenly finds she cannot see. She seems unconcerned about her symptom and tells her husband, "Don't worry, dear. Things will all work out." What does her attitude demonstrate?
Illness anxiety disorder
Which disorder is characterized by the client's misinterpretation of physical sensations or feelings?
Convey an interest in the client rather than in the symptoms.
What therapeutic intervention is most appropriate for a client diagnosed with a somatic symptom disorder?
Being a contact resource for the client

Liaisoning between client and care providers

Acting as the client's advocate so the client feels that someone has authority
Which interventions should the case manager implement for a client demonstrating somatization-associated behaviors? Select all that apply.
Powerlessness

Chronic low self-esteem

Risk for self-directed violence
A nurse is assessing a client who complains of chronic pain. The client has negative thoughts and feels unwanted by family and peers. Which nursing diagnoses does the nurse consider? Select all that apply.
"The symptoms and distress are real to the client. As nurses, we have an obligation to provide compassionate care."
Two nurses talk privately at the end of a shift change report on a medical-surgical unit. One nurse makes this statement regarding a client diagnosed with a somatic symptom disorder: "That client is just taking up a bed that should go to a client with a real problem." What is the nurse colleague's most constructive response?
Assertiveness training

Self-esteem enhancement

Family involvement promotion
Which interventions are used to care for clients with somatic symptom disorders? Select all that apply.
"Your emotional distress is being expressed as physical symptoms."
A veteran returning from war is diagnosed with a conversion disorder, or functional neurobiological symptom disorder, after all diagnostic testing has been negative for any physical abnormalities. When asked what the diagnosis means, what is the nurse's best response?
Intentional
Which adjective applies specifically to factitious disorders rather than somatic symptom disorders?
Advocating for the admission interviews of clients with somatic symptoms to contain questions concerning childhood traumas
Which activity will the nursing director of a neighborhood clinic implement to best address a facility's evidence-based practice needs?
Provide a simple, predictable daily routine.

Allow the client to progress at his or her own pace as memories are recovered.

Teach and reinforce relaxation and deep breathing techniques.
The nurse is planning care for a client diagnosed with a dissociative disorder. Which intervention is directed primarily toward minimizing the client's anxiety level? Select all that apply.
A feeling of detachment from one's body or mental processes
Which symptom can the nurse expect a client with depersonalization disorder to exhibit?
"I don't think about my symptoms all the time as I used to."
Which statement by a client most clearly indicates that goals for treatment of a somatic symptom disorder are being achieved?
Interrupt the discharge and arrange additional medical evaluation of the client.
A client in the emergency department was seen for the third time in a month with complaints of tremors and paresthesia in the lower extremities. The client is diagnosed with conversion disorder. While preparing for discharge, the client says, "Now I'm having chest pain but it's probably nothing." How should the nurse respond?
The client has integrated past events.
A nurse is evaluating the effects of treatment for a client with dissociative identity disorder. Which factor would indicate success of the treatment?
Ineffective coping
A client complains of severe headache and seeing blinding lights. The client's history shows numerous hospitalizations and diagnostic tests for neurological problems. All tests were normal and revealed no physical pathophysiology. What is the priority nursing diagnosis for this client?
Feeling of being an observer of one's own body
A client is diagnosed with depersonalization disorder. Which symptom should the nurse expect the client to report during the interview?
Addicted to medication
Which information should routinely be considered for a client diagnosed with a somatic symptom disorder?
Antianxiety medication
The nurse is caring for a client diagnosed with a somatic symptom disorder. About what type of medication does the nurse need to teach the client and the family?
Assess suicidal ideation in the client
A nurse is planning care for a client diagnosed with illness anxiety disorder. Which intervention does the nurse perform to prevent the client from self-harm?
Show concern for the client.

Teach assertive communication.

Teach stress reduction techniques
A nurse is caring for a client diagnosed with illness anxiety disorder. Which interventions will the nurse include in the plan of care for this client? Select all that apply.
Somatic symptoms vary widely from culture to culture.
Which statement is correct regarding somatic symptom disorders from a cultural perspective?
Malingering
A soldier prepares for discharge from military service. Just before the exit physical examination, the soldier consumes large amounts of caffeine to increase blood pressure in an effort to qualify for disability benefits. Which term is mostapplicable to the soldier's is individual's behavior?
Ineffective coping
Which nursing diagnosis is most likely to apply to clients diagnosed with somatic symptom disorders?
Anxiolytics

Antidepressants

Benzodiazepines
Which classes of medications have been shown to be mosthelpful in treating somatic symptom disorders? Select all that apply.
Conversion disorder
Which is an example of a somatic symptom disorder?
Physical symptoms of a psychological illness
Which statement appropriately describes somatic symptoms?
Conversion disorder

Illness anxiety disorder

Factitious disorder imposed on self
Which diagnoses are included among the somatic symptom disorders? Select all that apply.
The client may show neurological symptoms
A client is hospitalized with a diagnosis of conversion disorder. Which factor related to the conversion disorder does the nurse most consider?
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