Nokea
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.
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The husband of a client with hypochondriasis has accompanied his wife to the follow-up doctor's visit. While waiting for the doctor, the husband expresses to the nurse his frustration with his wife's obsession about illness. He asks the nurse, 'What can I do?' The best response by the nurse would be.
- A. Try ignoring her complaints, and they should subside.
- B. Try finding an activity you enjoy doing together to help her feel better overall.
- C. Try to be the client and understand that she is worried that she is sick.
- D. Try to give her some sort of reward when she resists complaining about her illnesses.
Correct Answer: B
Rationale: Encouraging shared pleasurable activities provides emotional support and may reduce focus on illness.
A client with recurrent headaches has been told by the physician that the cause is likely psychosomatic. The client reports this conversation to the nurse and says, 'That just can't be true. My head hurts so bad sometimes that it makes me sick to my stomach.' Which is the nurse's best response?
- A. To give the client some privacy and time to calm down.
- B. To say nothing and sit quietly with the client.
- C. The pain in your head is very real.
- D. Well, that's not what your doctor thinks.
Correct Answer: C
Rationale: Validating the reality of the client's pain builds trust and supports further discussion about psychosomatic causes.
The nurse performs a thorough physical examination for a client being admitted for somatic symptoms. Which of the following is the best rationale for the physical exam?
- A. Ease the client's mind that the nurse is looking for physical causes.
- B. Physical disorders underlie somatic disorders.
- C. Physical exams are reimbursed by third-party payers.
- D. Underlying pathology should be ruled out.
Correct Answer: D
Rationale: A thorough physical exam ensures no underlying organic pathology is missed, as somatic symptoms can coexist with physical conditions.
A client is seen in the primary care clinic complaining of headaches. The client appears extremely distressed and insists that she must have a brain tumor. Which diagnosis is most probable for this client?
- A. Conversion disorder
- B. Pain disorder
- C. Brain cancer
- D. Hypochondriasis
Correct Answer: D
Rationale: Hypochondriasis involves preoccupation with fear of serious illness, like a brain tumor, despite no organic basis.
The client asks the nurse, 'What does having psychosomatic symptoms mean?' What should the nurse reply?
- A. It means you're not physically sick.
- B. It means that stress and/or emotions can cause or worsen physical symptoms.
- C. It means that you'll be well when you get your life in order.
- D. It means that your symptoms are a product of your imagination.
Correct Answer: B
Rationale: Psychosomatic symptoms are real physical manifestations caused or worsened by stress or emotions, not imagined or consciously controlled.