A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?

Somatic symptom disorder is usually diagnosed in early childhood.

Somatic symptom disorder is usually underdiagnosed in the older population.

Somatic symptom disorder must be diagnosed before 18 years of age.

Somatic symptom disorder is usually onset in older adulthood.

Answer and Explanation

The Correct Answer is B

B. Somatic symptom disorder (SSD) involves persistent, distressing physical symptoms along with excessive thoughts, feelings, or behaviors related to those symptoms. While SSD can occur at any age, it is often underdiagnosed in the older population. Older adults may present with various somatic complaints, which can sometimes be mistaken for age-related physical health issues rather than manifestations of a psychological disorder.

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Correct Answer is C

Explanation

C. Somatic symptom disorder involves experiencing one or more somatic symptoms that are distressing or result in significant disruption of daily life, and the individual experiences excessive thoughts, feelings, or behaviors related to the symptoms. To meet the diagnostic criteria, these symptoms must persist for at least 3 months.

A. A. history of self-injurious behavior B. History of trauma during the developmental years C. Borderline personality disorder D. A history of schizophrenia

Correct Answer is B

Explanation

B. Trauma during the developmental years, especially in early childhood, is considered a significant risk factor for the development of DID. Trauma disrupts normal psychological development and can lead to the fragmentation of identity as a coping mechanism to dissociate from overwhelming or traumatic experiences.

A. A history of self-injurious behavior is often associated with various mental health conditions, such as borderline personality disorder, post-traumatic stress disorder (PTSD), or depression but it is not a primary risk factor for dissociative identity disorder (DID).

C. Individuals with BPD may experience dissociative symptoms, particularly during times of stress or intense emotional arousal but BPD itself is not considered a primary risk factor for dissociative identity disorder (DID).

D. Individuals with schizophrenia may experience dissociative symptoms, such as depersonalization or derealization but these symptoms are typically secondary to psychotic experiences rather than being indicative of dissociative identity disorder (DID).

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A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is B

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