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A nurse is caring for a client in an outpatient clinic.

Exhibits

The nurse should identify which of the following findings as manifestations of somatic symptom disorder? (Select all that apply.).

Anxiety.

Gastrointestinal distress.

Pain.

Bipolar disorder.

Fixation on health.

Depression.

Localized amnesia.

Answer and Explanation

Correct Answer : A,B,C,E,F

Choice A rationale:
Anxiety is a common symptom of somatic symptom disorder, as patients often experience significant distress about their physical symptoms.
Choice B rationale:
Gastrointestinal distress, such as stomach pain and diarrhea, can be manifestations of somatic symptom disorder. These symptoms can cause significant distress and disrupt daily life.
Choice C rationale:
Pain, especially when it is not linked to a clear physical cause, can be a symptom of somatic symptom disorder. The distress caused by the pain is often out of proportion to its severity.
Choice D rationale:
Bipolar disorder is a separate mental health condition and is not a symptom of somatic symptom disorder.
Choice E rationale:
Fixation on health, particularly an excessive preoccupation with physical symptoms, is a key feature of somatic symptom disorder.
Choice F rationale:
Depression can often co-occur with somatic symptom disorder, as the distress and disruption caused by the physical symptoms can lead to feelings of sadness and hopelessness.
Choice G rationale:
Localized amnesia is not a symptom of somatic symptom disorder. It is more commonly associated with other mental health conditions, such as dissociative disorders.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale:
Lithium is a mood stabilizer commonly used in the treatment of bipolar disorder.
Choice B rationale:
Valproate is an antiepileptic and mood-stabilizing medication commonly used to treat bipolar disorder.
Choice C rationale:
Carbamazepine is an anticonvulsant medication that has been found effective in managing mood swings in bipolar disorder.
Choice D rationale:
Donepezil is primarily used to treat Alzheimer’s disease and is not typically used in the treatment of bipolar disorder.
Choice E rationale:
Paroxetine is a type of antidepressant known as an SSRI, and it can be used in the treatment of bipolar disorder.

A. Financial situation. B. Increased use of mood-altering substances. C. Sexual behaviors. D. Hepatitis Viral Study (HAA) results. E. BUN level. F. Hgb level. G. Sodium level. H. Being admitted frequently I. Recent loss of a parent

Correct Answer is ["B","C","D","G","H","I"]

Explanation

Choice A rationale:
Financial situation is a concern but it does not require immediate follow-up in a medical context.
Choice B rationale:
Increased use of mood-altering substances is a serious concern. The client has been drinking heavily and asking for their “nerve” pill, which could indicate substance misuse.
Choice C rationale:
The client’s sexual behaviors, specifically having multiple partners and not using condoms, pose a risk for sexually transmitted infections.
Choice D rationale:
The positive Hepatitis Viral Study (HAA) indicates the presence of a viral hepatitis infection, which requires immediate medical attention.
Choice E rationale:
The BUN level is within the normal range (10 to 20 mg/dL), so it does not require immediate follow-up.
Choice F rationale:
The Hgb level is within the normal range (12 to 18 g/dL), so it does not require immediate follow-up.
Choice G rationale:
The sodium level is below the normal range (136 to 145 mEq/L), indicating hyponatremia, which requires immediate medical attention.
Choice H rationale:
The frequency of facility admissions indicates that the client’s condition is not being managed effectively and requires immediate reassessment.
Choice I rationale:
The recent loss of a parent is a significant life event that could exacerbate the client’s mental health issues and substance misuse, requiring immediate follow-up.

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A nurse is caring for a client in an outpatient clinic. Exhibits The nurse should identify which of the following findings as manifestations of somatic symptom disorder? (Select all that apply.).

Nursing Test Bank

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A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder.(Select all that apply.).

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Explanation

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Explanation

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A nurse is caring for a client in an outpatient clinic.

Exhibits

The nurse should identify which of the following findings as manifestations of somatic symptom disorder? (Select all that apply.).