Nokea
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.
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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.
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.
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.
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.