Nokea
A middle-aged client goes to the physician falsely complaining of hip pain. The client's intention is to fake chronic hip pain to apply for disability benefits from the government. Which best reflects the client's potential diagnosis?
- A. Malingering
- B. Hypochondriasis
- C. Factitious disorder
- D. Munchausen's syndrome by proxy
Correct Answer: A
Rationale: Malingering involves intentionally faking symptoms for external gain, such as disability benefits.
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Which of the following are possible with psychosomatic illness? Select all that apply.
- A. Real symptoms can begin.
- B. Real symptoms can continue.
- C. Real symptoms can worsen.
- D. Unrelated symptoms can occur.
- E. Clients can control these symptoms.
Correct Answer: A,B,C,D
Rationale: Psychosomatic illnesses involve real symptoms that can start, persist, or worsen due to emotional factors, but clients cannot consciously control them.
The nurse is working with the client to develop emotion-focused coping strategies. Which should the nurse include as an emotion-focused coping strategy?
- A. Problem solving
- B. Assertiveness techniques
- C. Role-playing
- D. Deep breathing techniques
Correct Answer: D
Rationale: Deep breathing is an emotion-focused coping strategy that helps manage stress and emotional distress.
The nurse is caring for a client who was in a motorcycle accident 2 months ago. The client says he still has terrible neck pain, but he will be better once he gets a big insurance settlement. What condition might the nurse suspect?
- A. Hypochondriasis
- B. La belle indifference
- C. Conversion reaction
- D. Malingering
Correct Answer: D
Rationale: Malingering is suspected when symptoms are exaggerated for external gain, like an insurance settlement.
Psychosomatic illness refers to physical symptoms that are either created or worsened by psychic influences. Which conditions are thought to be attributed to the connection between mind and body? Select all that apply.
- A. Diabetes
- B. Arthritis
- C. Hypertension
- D. Headache
- E. Colitis
Correct Answer: A,C,D,E
Rationale: Psychosomatic illnesses involve physical symptoms influenced by emotional factors. Diabetes, hypertension, colitis, and headaches can be exacerbated by stress, unlike arthritis.
Which statement would indicate to the nurse that the client has understood somatic symptom illness?
- A. As soon as my symptoms go away, I'll be my old self again.
- B. How I handle stress and emotions can affect my physical health.
- C. I have to avoid stress all my life to avoid getting sick again.
- D. Taking medication won't help my pain since it's caused by stress.
Correct Answer: B
Rationale: Understanding the link between stress, emotions, and physical health reflects accurate insight into somatic symptom illness.