The nurse is educating a client about their diagnosis of somatization disorder prior to the termination phase of the nurse-client relationship. Which statement by the client indicates a need for additional teaching?

"I will let my therapist know if I think suicidal thoughts."

"I have learned that my family can be a support system."

"Drinking strong coffee really helps me combat my fatigue."

"Nicotine makes my heart race, so I need to stop smoking."

Answer and Explanation

The Correct Answer is C

Choice A reason: Informing a therapist about suicidal thoughts is a positive step and indicates good understanding.

Choice B reason: Recognizing the family as a support system shows appropriate understanding of social support in managing somatization disorder.

Choice C reason: This statement indicates a misunderstanding, as caffeine may temporarily alleviate fatigue but does not address the underlying issues of somatization disorder.

Choice D reason: Understanding the need to stop smoking due to its effects on the heart is a correct understanding of managing physical symptoms.

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Correct Answer is D

Explanation

Choice A reason: The concept that cooperative people become increasingly helpless over time does not align with psychosocial theories of personality disorder development. Cooperation is generally seen as a positive trait and is not typically associated with the development of personality disorders.

Choice B reason: Self-transcendence contributing to self-consciousness and materialism is not a recognized psychosocial factor in the development of personality disorders. While self-transcendence can relate to a person's sense of connectedness with the broader universe, it is not directly linked to personality disorders.

Choice C reason: Highly self-directed individuals are often seen as having a strong sense of autonomy and control, which is not typically associated with the development of personality disorders. Uncooperativeness and intolerance are not inherent in self-direction.

Choice D reason: Failure to complete a developmental task can lead to psychosocial issues, which may contribute to the development of personality disorders. According to Erik Erikson's stages of psychosocial development, if an individual does not successfully navigate a stage, it may impact their personality and could potentially lead to disorders.

A. The client will demonstrate alternative ways to deal with stress, anxiety, and other feelings. B. The client will verbally express emotional feelings. C. The client will identify the relationship between stress and physical symptoms. D. The client will learn to vary their schedule. E. The client will assume responsibility for self-care activities.

Correct Answer is ["A","B","C","E"]

Explanation

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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The nurse is educating a client about their diagnosis of somatization disorder prior to the termination phase of the nurse-client relationship. Which statement by the client indicates a need for additional teaching?

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Naxlex Comprehensive Predictor Exams

Which is a psychosocial explanation for the development of personality disorders?

Correct Answer is D

Explanation

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.)

Correct Answer is ["A","B","C","E"]

Explanation

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