A nurse is caring for a client who was recently diagnosed with somatic symptom disorder.
The client says to the nurse, "I don't understand, they can't find anything medically wrong with me. I guess I will never feel better.”. Which of the following responses is the most therapeutic?
"Why do you feel like you will never get better? Do you not have confidence in the medical team?".
"We will work with you to help you develop ways to manage your symptoms that are caused by the disorder.”.
"Let's focus on the physical symptoms that you have.”.
"Although there isn't a cure for this disorder, I am sure you will feel better someday.”.
The Correct Answer is B
Choice A rationale:
Asking why the client feels they will never get better might come across as dismissive or confrontational.
Choice B rationale:
This response acknowledges the client’s feelings and offers a supportive approach to managing the symptoms of somatic symptom disorder. This disorder is characterized by a significant focus on physical symptoms that cause major distress and/or problems functioning. The main treatment is psychotherapy, and medication might be given in some cases.
Choice C rationale:
Focusing only on the physical symptoms might not address the emotional distress that the client is experiencing.
Choice D rationale:
While it’s important to offer hope, this response might come across as dismissive of the client’s current feelings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
Being withdrawn is a negative symptom of schizophrenia. It refers to the lack of social engagement and reduced interest in others.
Choice B rationale:
Lack of energy, or avolition, is a negative symptom of schizophrenia. It refers to a decrease in the initiation and persistence of goal-directed activities.
Choice C rationale:
Change in behavior is too broad to be considered a specific negative symptom of schizophrenia. Both positive and negative symptoms of schizophrenia can lead to changes in behavior.
Choice D rationale:
Lack of motivation, or avolition, is a negative symptom of schizophrenia. It refers to a decrease in the initiation and persistence of goal-directed activities.
Choice E rationale:
Blood pressure is not a symptom of schizophrenia. It is a physiological measurement and does not reflect the psychological symptoms of schizophrenia.
Correct Answer is A
Explanation
Choice A rationale:
Having consistent unit routines can provide a sense of stability and predictability, which can be beneficial for a client in the manic phase of bipolar disorder.
Choice B rationale:
Providing a stimulating environment can potentially exacerbate symptoms of mania, making it an inappropriate intervention.
Choice C rationale:
Scheduling daily seclusion times is not typically recommended as it can lead to feelings of isolation.
Choice D rationale:
Discouraging daytime napping can potentially lead to fatigue and worsen symptoms, so it’s not typically recommended.
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