A nurse is reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder?

Schizophrenia

Major depressive disorder

Borderline personality disorder

Bipolar disorder

Answer and Explanation

The Correct Answer is B

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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Correct Answer is C

Explanation

A. "I'm going to ignore your lack of self-care because it is an aspect of the disorder." Ignoring the client’s hygiene neglect does not support their well-being or promote self-care. While poor self-care is a symptom of schizophrenia, the nurse should encourage hygiene rather than dismiss it.
B. "Do you really think it is ok not to bathe? What is going on with you?" This confrontational statement may make the client feel judged or defensive, potentially worsening their resistance to self-care. Clients with schizophrenia may have impaired insight and motivation, making supportive guidance more effective.
C. "It is now time for you to bathe. Do you want to wear the red or green shirt?" Providing a structured directive while offering a simple choice promotes autonomy and encourages adherence to hygiene. Clients with schizophrenia benefit from clear instructions and limited choices, reducing decision-making stress and increasing cooperation.
D. "This is it! You are getting a bath! There are three of us here to bathe you!" Using forceful or coercive language can cause distress and escalate resistance. Encouraging hygiene should be done through therapeutic communication and gentle prompts rather than threats or intimidation.

A. Guilt B. Anhedonia C. Hallucinations D. Delusions

Correct Answer is A

Explanation

A. Guilt. Clients recovering from dissociative amnesia may experience feelings of guilt related to the events they cannot remember or the circumstances that led to their dissociative episode. This emotional response is common as they process their experiences.
B. Anhedonia. While anhedonia, or the inability to experience pleasure, can occur in various mental health conditions, it is not a primary manifestation of dissociative amnesia. Clients may experience emotional distress but not specifically anhedonia.
C. Hallucinations. Hallucinations are not typical manifestations of dissociative amnesia. This disorder primarily involves memory loss rather than perceptual disturbances. Hallucinations are more commonly associated with psychotic disorders.
D. Delusions. Delusions involve firmly held false beliefs that are inconsistent with reality. These are not characteristic of dissociative amnesia, which focuses on memory disruption rather than the presence of delusional thinking.

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A nurse is reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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