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.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement suggests a misunderstanding of somatic symptom disorder. Avoiding stress entirely is not realistic or beneficial for overall health.
Choice B reason: This statement is incorrect because while stress can exacerbate pain, medication may still be helpful in managing symptoms of somatic symptom disorder.
Choice C reason: This statement does not recognize the chronic nature of somatic symptom disorder, where symptoms may not completely go away and management is ongoing.
Choice D reason: This statement shows an understanding that psychological factors can influence physical symptoms, which is key in managing somatic symptom disorder.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: A cardiac monitor is essential during ECT to monitor the heart's electrical activity, as the procedure can affect heart rate and rhythm.

Choice B reason: A blood pressure monitor is necessary to track the client's blood pressure throughout the procedure, as ECT can cause fluctuations in blood pressure.
Choice C reason: A portable x-ray machine is not typically required in the setup for ECT.
Choice D reason: An EEG monitor is used during ECT to record the electrical activity of the brain, which is crucial for assessing the seizure activity induced by the treatment.
Choice E reason: An ophthalmoscope is not used during ECT; it is an instrument for examining the interior structures of the eye.
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