MULTIPLE CHOICE Show 1. Which assessment data would help the health care team distinguish symptoms of conversion (functional neurological) disorder from symptoms of illness anxiety disorder (hypochondriasis)? B PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity 2. Which prescription medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder? B PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Client Needs: Psychosocial Integrity 3. A medical-surgical nurse works with a patient diagnosed with a somatic symptom disorder. Care planning is facilitated by understanding that the patient will probably: B PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Client Needs: Psychosocial Integrity 4. A patient has blindness related to conversion (functional neurological)
disorder but is unconcerned about this problem. Which understanding should guide the nurse's planning for this patient? B PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Client Needs: Psychosocial Integrity 5. A patient has blindness related to conversion (functional neurological) disorder. To help the patient eat, the nurse should: B PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity 6. A patient with blindness related to conversion (functional neurological) disorder says, "All the doctors and nurses in the hospital stop by often to check on me. Too bad people outside the hospital don't find me as interesting." Which nursing diagnosis is most
relevant? B PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity 7. To assist patients diagnosed with somatic symptom disorders, nursing interventions of high priority: C PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Client Needs: Psychosocial Integrity 8. A patient with fears of serious heart disease was referred to the mental health center by a cardiologist. Extensive diagnostic evaluation showed no physical illness. The patient says, "My chest is tight, and
my heart misses beats. I'm often absent from work. I don't go out much because I need to rest." Which health problem is most likely? D PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity 9. A nurse assessing a patient diagnosed with a somatic symptom disorder is most likely to note that the patient: D PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Client Needs: Psychosocial Integrity 10. To plan effective care for patients diagnosed with somatic symptom disorders, the nurse should understand that patients have difficulty giving up the symptoms because the symptoms: D PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Client Needs: Psychosocial Integrity 11. A patient with a somatic symptom disorder has the nursing diagnosis Interrupted family processes related to patient's disabling symptoms as evidenced by spouse and
children assuming roles and tasks that previously belonged to patient. An appropriate outcome is that the patient will: B PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity 12. Which comment by a patient who recently experienced a myocardial infarction
indicates use of maladaptive, ineffective coping strategies? A PTS: 1 DIF: Cognitive Level: Apply (Application)
Client Needs: Psychosocial Integrity 13. A nurse assesses a patient diagnosed with conversion (functional neurological) disorder. Which comment is most likely from this patient? A PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity 14. A patient who experienced a myocardial infarction was transferred from critical care to a step-down
unit. The patient then used the call bell every 15 minutes for minor requests and complaints. Staff nurses reported feeling inadequate and unable to satisfy the patient's needs. When the nurse manager intervenes directly with this patient, which comment is most therapeutic? A PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity 15. A patient reports
fears of having cervical cancer and says to the nurse, "I've had Pap smears by six different doctors. The results were normal, but I'm sure that's because of errors in the laboratory." Which disorder would the nurse suspect? B PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Client Needs: Psychosocial Integrity 16. A patient diagnosed with a somatic symptom disorder
says, "My pain is from an undiagnosed injury. I can't take care of myself. I need pain medicine six or seven times a day. I feel like a baby because my family has to help me so much." It is important for the nurse to assess: C PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity 17. What is an
essential difference between somatic symptom disorders and factitious disorders? D PTS: 1
DIF: Cognitive Level: Understand (Comprehension) Client Needs: Psychosocial Integrity 18. A patient says, "I know I have a brain tumor despite the results of the MRI. The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day." Which response by the nurse fosters cognitive reframing? B PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity 19. Which treatment modality should a nurse recommend to help a patient diagnosed with a somatic symptom disorder to cope more effectively? C PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Physiological Integrity 20. Which assessment question could a nurse ask to help identify secondary gains associated with a somatic symptom disorder? A PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity
21. A patient diagnosed with a somatic symptom disorder has been in treatment for 4 weeks. The patient says, "Although I'm still having pain, I notice it less and am able to perform more activities." The nurse should evaluate the treatment plan as: C PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity MULTIPLE RESPONSE 1. A child has a history of multiple hospitalizations for recurrent systemic infections. The child is not improving in the hospital, despite aggressive
treatment. Factitious disorder by proxy is suspected. Which nursing interventions are appropriate? Select all that apply. B, D, E PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Safe, Effective Care Environment 2. Which presentations suggest the possibility of a factitious disorder, self-directed
type? Select all that apply. A, B PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Client Needs: Psychosocial Integrity 3. A patient diagnosed with a somatic symptom disorder says, "Why has God chosen me to be sick all the time and unable to
provide for my family? The burden on my family is worse than the pain I bear." Which nursing diagnoses apply to this patient? Select all that apply. A, E PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity 4. A nurse assesses a patient suspected of having somatic symptom disorder. Which assessment findings regarding this
patient support the suspected diagnosis? Select all that apply. A, B, E PTS: 1 DIF: Cognitive Level: Apply (Application) Client Needs: Psychosocial Integrity 5. A nurse's neighbor says, "I saw a news story about a man without any known illness who died suddenly after his ex-wife committed suicide. Was that a coincidence, or
can emotional shock be fatal?" The nurse should respond by noting that some serious medical conditions may be complicated by emotional stress, including: (select all that apply) A, C, D, E PTS: 1 DIF: Cognitive Level: Understand (Comprehension) Client Needs: Psychosocial Integrity ... Which patient problem would be the nurses focus for a patient diagnosed with somatic symptom disorder?Somatic symptom disorder is diagnosed when a person has a significant focus on physical symptoms, such as pain, weakness or shortness of breath, to a level that results in major distress and/or problems functioning.
What is the reason for somatization disorder?The exact cause of somatic symptom disorder isn't clear, but any of these factors may play a role: Genetic and biological factors, such as an increased sensitivity to pain. Family influence, which may be genetic or environmental, or both.
What disorder is related to somatic symptom disorder?Overview of Somatic Symptom and Related Disorders.. Conversion Disorder.. Factitious Disorder Imposed on Another.. Factitious Disorder Imposed on Self.. Illness Anxiety Disorder.. Psychological Factors Affecting Other Medical Conditions.. Somatic Symptom Disorder.. Which of the following is a necessary condition for a diagnosis of somatic symptom disorder?Somatic Symptom Disorder
Disproportionate and persistent thoughts about the seriousness of one's symptoms. Persistently high level of anxiety about health or symptoms. Excessive time and energy devoted to these symptoms or health concerns.
|