A client is seeking relief for undiagnosed pain. There is no history of significant physical illness or injury. The history reveals that the client was laid off 4 months ago from a job. Which statement made by the client would most strongly suggest a somatoform disorder?
"I'm sure they will figure out what is wrong with me."
"I probably just overexerted myself working around the house. It's hard to slow down."
"I have been having a hard time lately. It's hard not working like I'm used to."
"I seem to have more pain now that I got laid off and staying home."
The Correct Answer is D
Choice A reason: This statement does not necessarily suggest a somatoform disorder, as it expresses hope for a medical diagnosis.
Choice B reason: Mentioning overexertion could be a logical explanation for pain and does not directly indicate a somatoform disorder.
Choice C reason: Expressing difficulty with life changes does not specifically suggest a somatoform disorder, which is characterized by physical symptoms without a medical cause.
Choice D reason: This statement suggests that the pain may be linked to psychological factors, such as stress from losing a job, which is characteristic of a somatoform disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Sleeping excessively can be a response to depression or trauma, but it is not a specific symptom of PTSD.
Choice B reason: A constant need to talk about the event is not typical for PTSD, as individuals with PTSD often avoid reminders of the trauma.
Choice C reason: An increasing sense of attachment to others is not commonly associated with PTSD, which often involves feelings of detachment.
Choice D reason: Increasing feelings of anger are common in PTSD as individuals may have difficulty managing their emotions related to the trauma.
Correct Answer is B
Explanation
Choice A reason: While it's important to understand the client's concerns about being believed, this statement does not require immediate correction as it reflects a common worry among survivors of sexual assault.
Choice B reason: This statement is victim-blaming and perpetuates harmful stereotypes. It requires immediate correction to ensure the client receives compassionate and nonjudgmental care.
Choice C reason: Offering emotional support is an appropriate and necessary part of care for a survivor of sexual assault.
Choice D reason: Acknowledging the client's autonomy and the perpetrator's responsibility to respect consent is correct and does not require correction.
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