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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Sleeping excessively can be a response to depression or trauma, but it is not a specific symptom of PTSD.
Choice B reason: A constant need to talk about the event is not typical for PTSD, as individuals with PTSD often avoid reminders of the trauma.
Choice C reason: An increasing sense of attachment to others is not commonly associated with PTSD, which often involves feelings of detachment.
Choice D reason: Increasing feelings of anger are common in PTSD as individuals may have difficulty managing their emotions related to the trauma.
Correct Answer is A
Explanation
Choice A reason: Referring the client to a psychiatrist is important for a quick evaluation and treatment of postpartum depression, which can be serious if left untreated.
Choice B reason: Informing the client that symptoms will go away may not be therapeutic if the client is experiencing postpartum depression, which requires professional treatment.
Choice C reason: Discussing involuntary admission may be necessary if there is an immediate risk of harm, but it is not the first therapeutic action to take.
Choice D reason: Preparing for the administration of an IV neuroactive steroid could be part of a treatment plan, but it would typically follow a psychiatric evaluation and diagnosis.
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