A client continually reports physical symptoms in the absence of objective clinical findings. The nurse should suspect which of the following disorders?

Dysthymia

Body dysmorphic disorder

Somatoform disorder

Major depressive disorder

Answer and Explanation

The Correct Answer is C

C Somatoform disorders are characterized by physical symptoms that suggest a medical condition but cannot be fully explained by a general medical condition, another mental disorder, or substance use. Individuals with somatoform disorders often experience distress or impairment due to these symptoms despite medical reassurance that no physical cause can be found.

A. Dysthymia is a type of persistent depressive disorder characterized by a depressed mood that lasts for at least two years. It typically involves emotional and behavioral symptoms rather than physical symptoms without clinical findings.

B. Body dysmorphic disorder involves a preoccupation with perceived defects or flaws in physical appearance that are not observable or appear slight to others. While it involves body image concerns, it does not manifest as physical symptoms in the absence of objective findings.

D. Major depressive disorder primarily involves mood disturbances such as sadness, loss of interest or pleasure, and changes in appetite or sleep. While physical symptoms like fatigue and changes in weight can occur, they are not typically reported persistently without objective clinical findings as seen in somatoform disorders.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

B. Sertraline is a commonly prescribed SSRI used to treat depression, anxiety disorders, obsessive- compulsive disorder (OCD), and other conditions. It works by increasing the levels of serotonin in the brain, which helps improve mood and reduce symptoms of depression.

A. Lorazepam is a benzodiazepine used primarily for its anxiolytic (anti-anxiety) effects. It is not an SSRI and is not typically prescribed as a first-line treatment for depression.

C. Amitriptyline is a tricyclic antidepressant (TCA), not an SSRI. TCAs are older antidepressants that work on multiple neurotransmitter systems, including serotonin, but they are less commonly prescribed as first-line treatment due to their side effect profile.

D. Clonazepam is also a benzodiazepine used for treating anxiety disorders and certain types of seizures. Like lorazepam, it is not an SSRI and is not typically used as a first-line treatment for depression.

A. A male client with severe long-lasting major depression and at risk for suicide B. A male client with major depressive disorder and history of heart disease C. A female client with dysthymic disorder D. A female client with major depression and brain metastasis

Correct Answer is A

Explanation

A. ECT is often considered for severe major depression that has not responded to other treatments, especially when there is a risk of suicide. ECT can provide rapid relief of symptoms, which is crucial in cases where immediate intervention is needed to prevent harm to the patient.

B. While ECT is generally safe for individuals with medical conditions, including heart disease, special precautions might be needed. However, the presence of heart disease alone would not necessarily preclude ECT if the benefits outweigh the risks and if the client's cardiac status is stable.

C. Dysthymic disorder, characterized by persistent depressive symptoms that are less severe than major depression, typically does not warrant ECT. ECT is usually reserved for more severe forms of depression that significantly impair daily functioning or pose a risk to the patient's safety.

D. ECT may be contraindicated or require careful consideration in clients with brain metastasis due to potential risks related to increased intracranial pressure or neurological complications. Alternative treatments may be preferred in such cases.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client continually reports physical symptoms in the absence of objective clinical findings. The nurse should suspect which of the following disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A depressed client has been prescribed a selective serotonin reuptake inhibitor. Which medication may have been prescribed?

Correct Answer is B

Explanation

Which client would the nurse expect to prepare for electroconvulsive therapy (ECT)?

Correct Answer is A

Explanation

A female client with anorexia nervosa and a cardiac condition was prescribed an antidepressant before she regained weight during her treatment course. The nurse should be aware of the possibility of which condition in this client?

Assessment of a client reveals severe and sudden mood swings from mania to depression. Which diagnosis should the nurse suspect?

Which of the following are indicative of hypochondriasis? (Select all that apply.)

A nurse is reinforcing teaching with a group of adolescents regarding identifying behavioral indicators of depression. Which of the following manifestations should the nurse include? (Select all that apply.)

The death rate from anorexia is higher than any other mental illness. Death usually results from which of the following? (Select all that apply.)

Depression in adolescence usually is related to loneliness, family strengths, self-esteem, and which of the following?

A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?