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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.
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The husband of a woman with a somatic symptom illness asks the nurse why the doctors cannot find anything wrong with her. Which would be the appropriate explanation for the nurse to offer?
- A. She is not really experiencing the symptoms. She is making them up to get attention.
- B. There is no physical cause. Mental distress is causing the symptoms, even though she is not aware of it.
- C. She controls the symptoms when she isn't feeling much stress. It is hard to diagnose when the symptoms are intermittent.
- D. There is a physical cause. It just has not been detected yet.
Correct Answer: B
Rationale: Somatic symptom illnesses cause real symptoms due to mental distress, not consciously controlled or fabricated, despite negative diagnostic results.
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.
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 of the following accurately describes how somatic symptoms are distinguished from factitious disorders and malingering?
- A. Munchausen's syndrome cannot be controlled by persons who have it.
- B. Persons who experience somatic disorders intentionally produce symptoms for some external purpose or gain.
- C. In malingering or factitious disorders, people willfully control the symptoms, and in somatic symptom illnesses, clients do not voluntarily control their physical symptoms.
- D. People who experience somatic symptom illnesses can stop the physical symptoms as soon as they have gained what they wanted.
Correct Answer: C
Rationale: Somatic symptom illnesses involve involuntary symptoms, unlike malingering or factitious disorders where symptoms are willfully produced.
The client states, 'I can't go to group today. I have a very upset stomach this morning.' Which would be the nurse's most appropriate response?
- A. You have to go to group. The doctor has ordered it.
- B. Okay, you can miss this time.
- C. I know you don't feel well, but it's important for you to participate in therapy.
- D. You aren't really feeling nauseous. It is part of your illness.
Correct Answer: C
Rationale: Validating the client's feelings while encouraging participation supports therapy without dismissing symptoms.