A community health nurse is presenting epidemiological and etiological data related to somatic symptom disorder and related disorders. Which of the following information should the nurse include?

Somatic symptom disorder impacts more women than men.

Clients who have somatic symptom disorder exhibit more than one personality.

Clients who have this disorder are intentionally faking their symptoms.

Somatic symptom disorder impacts the majority of clients who have depression.

Answer and Explanation

The Correct Answer is A

A. Somatic symptom disorder is more commonly diagnosed in women than men.

B. Clients with somatic symptom disorder do not exhibit multiple personalities; this is more characteristic of dissociative identity disorder.

C. Somatic symptom disorder involves genuine distress about physical symptoms, not intentional faking.

D. While clients with somatic symptom disorder may experience comorbid depression, it does not impact the majority of clients with depression.

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Correct Answer is B

Explanation

A. Dissociative amnesia involves memory loss and does not involve self-harm behavior.
B. Factitious disorder involves the intentional production or feigning of physical or psychological symptoms, including self-inflicted injuries, for the purpose of assuming a sick role.
C. Illness anxiety disorder involves excessive worry about having a serious illness without intentional production of symptoms.
D. Functional neurological symptom disorder involves neurological symptoms that cannot be explained by medical conditions and does not involve intentional harm.

A. Tardive dyskinesia B. Impaired ability to regulate body temperature C. Neuroleptic malignant syndrome D. Extrapyramidal symptoms

Correct Answer is A

Explanation

A. Tardive dyskinesia is characterized by repetitive, involuntary movements such as jerking movements and twitching of the face and tongue, commonly associated with long-term use of first-generation antipsychotics.

B. Impaired ability to regulate body temperature can be a side effect of antipsychotic medications but does not describe the specific symptoms presented.

C. Neuroleptic malignant syndrome is a severe reaction to antipsychotic medications, characterized by hyperthermia, muscle rigidity, altered mental status, and autonomic dysfunction, but not the jerking and twitching described.

D. Extrapyramidal symptoms include a range of movement disorders such as dystonia, akathisia, and parkinsonism but do not specifically describe the tardive dyskinesia symptoms presented.

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A community health nurse is presenting epidemiological and etiological data related to somatic symptom disorder and related disorders. Which of the following information should the nurse include?

Nursing Test Bank

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