Nokea
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.
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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.
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 planning care for a client with somatic symptom illness disorder. Which should the nurse plan to reassess on a daily basis?
- A. Sensory deficits experienced by the client
- B. Character of pain reported by the client
- C. Frequency of generalized somatic complaints
- D. Signs of possible neurologic disorders
Correct Answer: C
Rationale: Monitoring the frequency of somatic complaints tracks the status of the disorder without reinforcing unfounded health concerns.
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.
Which of the following terms are applicable when a person inflicts illness or injury on someone else to gain the attention of emergency medical personnel or to be a 'hero' for saving the victim?
- A. Malingering
- B. Factitious disorder
- C. Munchausen's syndrome by proxy
- D. Induced illness
Correct Answer: C
Rationale: Munchausen's syndrome by proxy involves inflicting harm on another to gain attention or hero status.