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 C

Explanation

a. Encourage alone time for the client in seclusion: Encouraging alone time in seclusion may exacerbate feelings of isolation and is not typically recommended for clients with conversion disorder, who may benefit more from social support and therapeutic interventions.
b. Assess one time for self-harm during treatment: While assessing for self-harm is important, it is not specific to conversion disorder and should be part of routine nursing care for all clients, regardless of diagnosis.
c. Discuss alternative coping strategies with the client: This is correct because exploring alternative coping strategies can help the client manage stressors and symptoms associated with conversion disorder in healthier ways.
d. Allow for unlimited discussion of physical symptoms: Allowing unlimited discussion of physical symptoms may reinforce symptom focus and is not typically recommended in the treatment of conversion disorder, where the focus is on addressing underlying psychological distress.

A. Pulling out their hair B. Pretending to be sick C. Aphanie D. Amnesia

Correct Answer is A

Explanation

a. Pulling out their hair (Correct): Trichotillomania is a mental health disorder characterized by the repetitive pulling out of one's hair. This behavior often serves as a way to cope with anxiety or negative emotions. It's the defining characteristic of the condition.
b. Pretending to be sick: Malingering, or pretending to be sick for secondary gain, is not a characteristic behavior of Trichotillomania.
c. Aphanie: Aphanie is a complete or partial loss of the sense of touch. It's not related to anxiety relief or Trichotillomania.
d. Amnesia: Amnesia is memory loss. While anxiety can be a contributing factor in some amnestic cases, it's not a behavior used to relieve anxiety.

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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

A nurse is caring for a client who is diagnosed with a conversion disorder. What actions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A client is diagnosed with Trichotillomania. The client has relieved the anxiety over the years by doing what type of behavior?

Correct Answer is A

Explanation

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