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Somatic Symptom Disorders And Dissociative Disorders

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Question 1
Free
Multiple Choice

A medical-surgical nurse works with a patient diagnosed with a somatic system disorder. Care planning is facilitated by understanding that the patient will probably:

Choose correct answer/s
A

readily seek psychiatric counseling.

B

be resistant to accepting psychiatric help.

C

attend psychotherapy sessions without encouragement.

D

be eager to discover the true reasons for physical symptoms.

Check answer
Question 2
Free
Multiple Choice

A patient has blindness related to a functional neurological (conversion) disorder but is unconcerned about this problem. Which understanding should guide the nurse's planning for this patient? The patient is:

Choose correct answer/s
A

suppressing accurate feelings regarding the problem.

B

relieving anxiety through the physical symptom.

C

meeting needs through hospitalization.

D

refusing to disclose genuine fears.

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Question 3
Free
Multiple Choice

A patient has blindness related to a functional neurological (conversion) disorder. To help the patient eat, the nurse should:

Choose correct answer/s
A

establish a "buddy" system with other patients who can feed the patient at each meal.

B

expect the patient to feed himself or herself after explaining the arrangement of the food on the tray.

C

direct the patient to locate items on the tray independently and feed himself or herself unassisted.

D

address the needs of other patients in the dining room, and then feed this patient.

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Question 4
Free
Multiple Choice

A patient with blindness related to a functional neurological (conversion) disorder says, "All the doctors and nurses in this hospital stop by often to check on me. Too bad people outside the hospital don't find me interesting." Which nursing diagnosis is most relevant?

Choose correct answer/s
A

Social isolation

B

Chronic low self-esteem

C

Interrupted family processes

D

Ineffective health maintenance

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Question 5
Free
Multiple Choice

To assist a patient diagnosed with a somatic system disorder, a nursing intervention of high priority is to:

Choose correct answer/s
A

imply that somatic symptoms are not real.

B

help the patient suppress feelings of anger.

C

shift the focus from somatic symptoms to feelings.

D

investigate each physical symptom as soon as it is reported.

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Question 6
Multiple Choice

A patient who fears serious heart disease was referred to the mental health center by a cardiologist after diagnostic evaluation showed no physical illness. The patient says, "My heart misses beats. I'm frequently absent from work. I don't go out much because I need to rest." Which health problem is most likely?

Choose correct answer/s
A
Depersonalization disorder
B
Antisocial personality disorder
C
Illness anxiety disorder (hypochondriasis)
D
Persistent depressive disorder (dysthymia)
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Question 7
Multiple Choice

A nurse assessing a patient diagnosed with a somatic system disorder is most likely to note that the patient:

Choose correct answer/s
A
readily sees a relationship between symptoms and interpersonal conflicts.
B
rarely derives personal benefit from the symptoms.
C
has little difficulty communicating emotional needs.
D
has unmet needs related to comfort and activity.
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Question 8
Multiple Choice

To plan effective care for patients diagnosed with somatic system disorders, the nurse should understand that patients have difficulty giving up the symptoms because the symptoms:

Choose correct answer/s
A
are generally chronic in nature.
B
have a physiological basis.
C
can be voluntarily controlled.
D
provide relief from health anxiety.
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Question 9
Multiple Choice

A patient diagnosed with a somatic symptom disorder has the nursing diagnosis: interrupted family processes, related to patient's disabling symptoms as evidenced by the spouse and children assuming roles and tasks that previously belonged to patient. An appropriate outcome is that the patient will:

Choose correct answer/s
A
assume roles and functions of the other family members.
B
demonstrate a resumption of former roles and tasks.
C
focus energy on problems occurring in the family.
D
rely on family members to meet his or her personal needs.
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Question 10
Multiple Choice

Which prescription medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder?

Choose correct answer/s
A
Narcotic analgesics for use as needed for acute pain
B
Antidepressant medications to treat underlying depression
C
Long-term use of benzodiazepines to support coping with anxiety
D
Conventional antipsychotic medications to correct cognitive distortions
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Question 11
Multiple Choice

Which assessment finding best supports the diagnosis of dissociative amnesia with fugue? The patient states:

Choose correct answer/s
A
"I cannot recall why I'm living in this town."
B
"I feel as if I'm living in a fuzzy dream state."
C
"I feel like different parts of my body are at war."
D
"I feel very anxious and worried about my problems."
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Question 12
Multiple Choice

A college student observes a roommate going out wearing uncharacteristically seductive clothing, returning 12 to 24 hours later, and then sleeping for 8 to 12 hours. At other times, the roommate sits on the floor speaking like a young child. Which health problem should be considered?

Choose correct answer/s
A
Functional neurological (conversion) disorder
B
Dissociative identity disorder
C
Dissociative amnesia
D
Derealization disorder
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Question 13
Multiple Choice

A nurse assesses a patient diagnosed with functional neurological (conversion) disorder. Which comment is most likely from this patient?

Choose correct answer/s
A
"Since my father died, I've been short of breath and had sharp pains that go down my left arm, but I think it's just indigestion."
B
"I have daily problems with nausea, vomiting, and diarrhea. My skin is very dry and I think I'm getting seriously dehydrated."
C
"Sexual intercourse is painful. I pretend as if I'm asleep so I can avoid it. I think it's starting to cause problems with my marriage."
D
"I get choked very easily and have trouble swallowing when I eat. I think I might have cancer of the esophagus."
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Question 14
Multiple Choice

An adult diagnosed with conversion (functional neurobiological symptom) disorder says, "Our family has gotten along over the years by working together. My partner cooks and the children clean house." Nursing interventions should recognize that the patient likely:

Choose correct answer/s
A
receives secondary gains from the symptoms.
B
has problems with sexual identity and satisfaction.
C
will be resistant to developing a trusting relationship.
D
will benefit from confrontation about physical complaints.
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Question 15
Multiple Choice

Select the correct etiology to complete this nursing diagnosis for a patient diagnosed with dissociative identity disorder: disturbed personal identity, related to:

Choose correct answer/s
A
obsessive fears of harming self or others.
B
poor impulse control and lack of self-confidence.
C
depressed mood secondary to nightmares and intrusive thoughts.
D
cognitive distortions associated with unresolved childhood abuse issues.
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Question 16
Multiple Choice

For a patient diagnosed with dissociative amnesia, complete this outcome: "Within 4 weeks, the patient will demonstrate an ability to execute complex mental processes by:

Choose correct answer/s
A
functioning independently."
B
verbalizing feelings of safety."
C
regularly attending diversional activities."
D
describing previously forgotten experiences."
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Question 17
Multiple Choice

A patient is hospitalized with blindness of sudden onset. According to the spouse, the patient entered a room and found the spouse in a romantic embrace with a neighbor. The patient is unconcerned about the blindness and says, "I'm sure things will turn out all right." Which term best describes this reaction? A person comes to the clinic reporting, "I wear a scarf across my lower face when I go out because of my ugly appearance." Assessment reveals an average appearance with no actual disfigurement. Which problem is most likely?

Choose correct answer/s
A
La belle indifference
B
Agoraphobia
C
Dissociation
D
Fugue
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Question 18
Multiple Choice

A nurse counseling a patient diagnosed with dissociative identity disorder (DID) should understand that the assessment of highest priority is:

Choose correct answer/s
A
risk for self-harm.
B
cognitive functioning.
C
identification of drug abuse.
D
readiness to reestablish identity or memory.
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Question 19
Multiple Choice

A patient says, "I feel detached and weird all the time, like I'm looking at life through a cloudy window. Everything seems unreal. These feelings really interfere with my work and study." Which term should the nurse use to document this complaint?

Choose correct answer/s
A
Depersonalization
B
Hypochondriasis
C
Dissociation
D
Malingering
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Question 20
Multiple Choice

A patient reports fears of having cervical cancer and says to the nurse, "I've had Pap smears by six different doctors. The results are normal, but I'm sure that's because of errors in the laboratory." Which disorder would the nurse suspect?

Choose correct answer/s
A
Functional neurologic (conversion) disorder
B
Illness anxiety disorder (hypochondriasis)
C
Derealization disorder
D
Dissociative amnesia with fugue
To unlock the question