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?

A. "My ex-partner constantly makes fun of my weight." This statement reflects emotional abuse, as body-shaming can damage self-esteem and create feelings of worthlessness. Constant criticism about appearance is a form of psychological manipulation and control.
B. "My ex-partner tells me that I can't do anything right." Emotional abusers often undermine their victims’ confidence by making them feel incompetent or incapable. This type of verbal degradation can lead to self-doubt, anxiety, and depression.
C. "I recently was promoted at work but now I'm unable to work with the same coworkers I was used to working with." While workplace changes can be stressful, this does not indicate emotional abuse. There is no mention of manipulation, belittlement, or control by another person.
D. "I am newly divorced and a single parent." Divorce and single parenting can be challenging, but they do not inherently signify emotional abuse. Emotional abuse involves a pattern of controlling, belittling, or manipulative behavior from another individual.
E. "I suppose I really do need to be on medication, like my ex-partner said." This statement suggests that the ex-partner may have manipulated the client into doubting their own mental stability. Gaslighting—making someone question their own reality—is a common tactic in emotional abuse.
F. "My friend recently passed away." Grief can contribute to emotional distress, but the loss of a friend does not indicate emotional abuse. Emotional abuse involves deliberate psychological harm from another person.

A. Identification phase. In this phase, the nurse and client begin to build a therapeutic relationship and establish trust. The focus is on identifying the client's needs and concerns rather than actively engaging in therapeutic interventions like guided therapy.
B. Exploitation phase. During the exploitation phase, the nurse encourages the client to utilize the resources and therapeutic interventions available to them. This is an appropriate time to suggest guided therapy sessions, as the client is actively engaged in exploring their issues and working toward improvement.
C. Resolution phase. The resolution phase involves evaluating the progress made and preparing for the termination of the nurse-client relationship. It is not the appropriate time to introduce new therapeutic modalities, as the focus shifts to consolidating gains and planning for future support.
D. Orientation phase. The orientation phase establishes the groundwork for the therapeutic relationship, including discussing goals and expectations. While important, it is not the phase where guided therapy sessions would typically be suggested, as the relationship is still in its initial stages.