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.
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 D
Explanation
D. Antisocial personality disorder (ASPD) is characterized by a pervasive pattern of disregard for and violation of the rights of others. Individuals with ASPD often engage in impulsive and aggressive behaviors, such as physical fights, reckless disregard for safety, and criminal activities. A Narcissistic personality disorder: Individuals with narcissistic personality disorder may display grandiosity, a need for admiration, and a lack of empathy, but they typically do not engage in aggressive or impulsive behavior.
B. While aggression can occur in individuals with borderline personality disorder, it is often directed towards themselves rather than others, and the presentation described in the scenario is more indicative of ASPD.
C. Individuals with histrionic personality disorder may seek attention, display exaggerated emotions, and have a strong desire to be the center of attention, but they are not typically associated with aggressive or violent behavior as described in the scenario.
Correct Answer is C
Explanation
C. This statement emphasizes a crucial aspect of relapse prevention in substance use disorder treatment. Relapses are common in the recovery process and should not be seen as failures but rather as opportunities for learning and growth.
A. Relapses are common in the course of recovery from substance use disorders and do not necessarily indicate failure.
B. Relapse is not solely a result of willpower or lack thereof. It involves various factors, including biological, psychological, social, and environmental influences.
D. Relapses are common in the journey of recovery from substance use disorders, especially in the early stages when individuals are still learning to navigate triggers and develop coping strategies.
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