The nurse is working with a client diagnosed with Somatic Symptom Disorder. What predominant symptoms should the nurse expect to assess?

Excessive time spent discussing psychosocial stressors

Disproportionate and persistent thoughts about the seriousness of one's symptoms

Amnestic episodes in which the client is pain free

Lack of physical symptoms

Answer and Explanation

The Correct Answer is B

a. Excessive time spent discussing psychosocial stressors: Somatic Symptom Disorder focuses on physical symptoms, not necessarily psychological factors.
b. Disproportionate and persistent thoughts about the seriousness of one's symptoms: This is a hallmark symptom of Somatic Symptom Disorder. The client is likely preoccupied with their health beyond what's medically warranted.
c. Amnestic episodes in which the client is pain free: Amnesia is not a characteristic symptom of Somatic Symptom Disorder.
d. Lack of physical symptoms: Somatic Symptom Disorder by definition involves physical symptoms, even if they are not medically explained.

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Correct Answer is A

Explanation

a. "The voices must sound scary, but the devil is not talking to you. This is part of your illness." Validating the experience ("The voices must sound scary") shows empathy and avoids dismissing the client's reality. Explaining it as part of the illness ("This is part of your illness") provides a non-judgmental explanation.
b. "The devil only talks to people who are receptive to his influence." Denying the voices can be dismissive and make the client feel isolated.
c. "You are not going to hell. You are a good person." While offering reassurance might seem comforting, it doesn't address the specific hallucination.
d. "Did you take your medicine this morning?" Medication is important, but the immediate priority is to address the hallucination and provide support.

A. time of day. B. client's perception of the event. C. availability of adequate coping mechanisms. D. availability of supports.

Correct Answer is ["B","C","D"]

Explanation

a. time of day. The time of day is not a significant factor in determining whether a situation will be perceived as a crisis.
b. client's perception of the event. This is correct because an individual's perception of an event greatly influences whether it is experienced as a crisis.
c. availability of adequate coping mechanisms. This is correct because having effective coping mechanisms can mitigate the impact of a stressful situation and prevent it from becoming a crisis.
d. availability of supports. This is correct because having a supportive network can help individuals manage stress and reduce the likelihood of a crisis.
e. location of a treatment centre. While access to treatment is important, the immediate experience of a crisis is more influenced by perception, coping mechanisms, and support systems than the location of a treatment centre.

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The nurse is working with a client diagnosed with Somatic Symptom Disorder. What predominant symptoms should the nurse expect to assess?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is ["B","C","D"]

Explanation

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