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The nurse has encouraged the client with a somatic symptom illness to keep a journal. Which treatment outcome might be met by journaling?
- A. The nurse will control external stressors that trigger the patient's physical symptoms.
- B. The nurse will assess the onset of physical symptoms.
- C. The client will express emotions privately.
- D. The client will identify the occurrence of physical symptoms when stressed.
Correct Answer: D
Rationale: Journaling helps clients recognize the link between stress and physical symptoms, fostering insight into the mind-body connection.
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An actor has prepared extensively for his first stage production. On the morning of the opening of the play, the actor awakens with laryngitis. From which disorder is the actor most likely suffering?
- A. Acute upper respiratory infection
- B. Conversion disorder
- C. Hysteria
- D. Somatization disorder
Correct Answer: B
Rationale: Conversion disorder involves sudden sensory or motor deficits, like laryngitis, linked to psychological stress, not organic causes.
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.
Which is the primary gain for a client with conversion disorder?
- A. Emotional detachment
- B. Emotional support from family
- C. Identification of anxious feelings
- D. Relief from emotional conflict
Correct Answer: D
Rationale: Conversion disorder provides relief from emotional conflict by expressing it through physical symptoms, not through detachment or external support.
The nurse is identifying outcomes for a client with a somatic symptom illness. Which is an appropriate outcome to include in the plan of care?
- A. The client will verbally express his or her emotions.
- B. The client will be free from stress.
- C. The client will demonstrate alternative ways to avoid stressful situations.
- D. The client will verbalize acceptance of physical symptoms.
Correct Answer: A
Rationale: Verbal expression of emotions is a realistic outcome, helping clients address underlying psychological factors.
Which is the primary gain associated with developing physical symptoms in response to stress?
- A. Accept dependency
- B. Decrease anxiety
- C. Experience attention
- D. Suppress anger
Correct Answer: B
Rationale: The primary gain in psychosomatic illness is the reduction of anxiety or emotional conflict through physical symptom expression.