A nurse is caring for a client in an outpatient clinic.
Select the 3 interventions the nurse should plan to take.
Encourage the client to think positive thoughts.
Assist the client in distinguishing between anxiety and physical manifestations.
Provide relief measures for manifestations the client is experiencing.
Inform the client that nothing is medically wrong with them.
Suggest to the client's provider that multiple tests need to be performed.
Perform a lengthy exam of client's condition.
Correct Answer : B,C,E
A. Encourage the client to think positive thoughts. While promoting positive thinking can be helpful, this approach may oversimplify the client's experience and does not address their anxiety or physical symptoms effectively.
B. Assist the client in distinguishing between anxiety and physical manifestations. This intervention is crucial as it helps the client understand the connection between their anxiety and physical symptoms. It can empower the client to better manage their feelings and reduce their fixation on health issues.
C. Provide relief measures for manifestations the client is experiencing. Addressing the client's physical symptoms, such as anxiety and stomach discomfort, is important for their overall well-being and can improve their quality of life.
D. Inform the client that nothing is medically wrong with them. This statement may dismiss the client's concerns and could lead to feelings of frustration or invalidation. It is important to listen to the client’s experiences without minimizing them.
E. Suggest to the client's provider that multiple tests need to be performed. Given the client's report of ongoing symptoms and concerns about their health, it is appropriate to recommend further evaluation to rule out any underlying medical issues. This ensures that the client feels heard and their concerns are taken seriously.
F. Perform a lengthy exam of the client's condition. Conducting a lengthy exam may not be necessary at this stage, especially in an outpatient setting. Instead, focusing on understanding the client's experience and addressing their concerns is more beneficial.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bullying. Bullying typically involves repeated aggressive behavior that is intended to intimidate or harm another individual, often occurring in a more social or organizational context, such as schools or workplaces. The described behavior does not align with this definition.
B. Stalking. Stalking involves unwanted and repeated surveillance or contact with an individual, which can include leaving items at their residence. The attendee's experience of seeing the same person outside their apartment and receiving items at their door indicates a pattern of behavior consistent with stalking.
C. Assault. Assault refers to the threat or act of causing physical harm to another person. In this scenario, there is no indication of a direct threat or physical attack, so this option is not applicable.
D. Abandonment. Abandonment typically refers to a caregiver or responsible party leaving a person without necessary care or support. This concept does not fit the situation described, as it does not involve the dynamics of an aggressive or threatening relationship.
Correct Answer is B
Explanation
A. Schizophrenia. Schizophrenia is a severe psychiatric disorder characterized by delusions, hallucinations, and disorganized thinking. While somatic symptom disorder (SSD) involves excessive focus on physical symptoms, it is not commonly linked to schizophrenia, which primarily affects perception and cognition.
B. Major depressive disorder. Depression is a common comorbidity of somatic symptom disorder. Clients with SSD often experience persistent sadness, hopelessness, and fatigue due to their distress over physical symptoms, which can contribute to or exacerbate depression.
C. Borderline personality disorder. While borderline personality disorder (BPD) is associated with emotional dysregulation and unstable relationships, it is not the most common comorbidity of SSD. BPD can co-occur with SSD, but depression and anxiety disorders are more frequently seen.
D. Bipolar disorder. Bipolar disorder involves mood fluctuations between mania and depression, whereas SSD is primarily characterized by excessive health-related concerns. While both conditions can co-exist, depression is more commonly associated with SSD.
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