The nurse is creating a plan of care for a client with somatic symptom disorder. Which long-term treatment outcomes for this client will be most achievable and measurable? (Select all that apply.)
The client will demonstrate alternative ways to deal with stress, anxiety, and other feelings.
The client will verbally express emotional feelings.
The client will identify the relationship between stress and physical symptoms.
The client will learn to vary their schedule.
The client will assume responsibility for self-care activities.
Correct Answer : A,B,C,E
Choice A reason: Demonstrating alternative ways to deal with stress and anxiety is a measurable outcome, as the client can be observed utilizing different coping strategies in response to stressors.
Choice B reason: The ability to verbally express emotional feelings is an important therapeutic goal for clients with somatic symptom disorder, as it can help them articulate emotions rather than expressing them through physical symptoms.

Choice C reason: Identifying the relationship between stress and physical symptoms is a key component of managing somatic symptom disorder, as it helps the client understand how psychological factors can manifest physically.
Choice D reason: Learning to vary their schedule can help the client avoid routines that may contribute to stress, providing a sense of control and flexibility.
Choice E reason: Assuming responsibility for self-care activities is a significant step towards empowerment and self-management, which is essential for long-term treatment success.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E","F","G"]
Explanation
Choice A reason: Support systems are crucial for emotional and practical support, especially when dealing with mental health issues.
Choice B reason: Physical health can significantly impact mental health, and vice versa; it's important to consider the client's overall well-being.
Choice C reason: Mental health support, such as therapy or support groups, is essential for someone struggling with the effectiveness of their medication.
Choice D reason: While alcohol consumption can affect mental health, it is not mentioned in the client's statement and therefore cannot be assumed.
Choice E reason: Feelings of self-worth are directly related to mental health and can influence the client's perspective on their value and the burden they perceive themselves to be to others.
Choice F reason: Family history can provide insight into potential hereditary patterns of mental health issues and the client's support network.
Choice G reason: Access to lethal means is a critical safety concern, especially for clients expressing feelings of worthlessness or experiencing severe depression.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: A cardiac monitor is essential during ECT to monitor the heart's electrical activity, as the procedure can affect heart rate and rhythm.
Choice B reason: A blood pressure monitor is necessary to track the client's blood pressure throughout the procedure, as ECT can cause fluctuations in blood pressure.
Choice C reason: A portable x-ray machine is not typically required in the setup for ECT.
Choice D reason: An EEG monitor is used during ECT to record the electrical activity of the brain, which is crucial for assessing the seizure activity induced by the treatment.

Choice E reason: An ophthalmoscope is not used during ECT; it is an instrument for examining the interior structures of the eye.
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