Review Practice Exercise 3

Somatic Symptom and Related Disorders > Mental Health

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Practice Exercise 3

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Total Questions : 5

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Question 1:

Which of the following is true about clients with illness anxiety disorder?

A. They may interpret normal body sensations as signs of disease. B. They often exaggerate or fabricate physical symptoms for attention. C. They do not show signs of distress about their physical symptoms. D. All the above are true statements.

Answer and Explanation

Choice A:

Clients with illness anxiety disorder often misinterpret normal sensations as pathological, driven by persistent health-related anxiety and catastrophic thinking.

Choice B:

Fabrication of symptoms is typical of factitious disorder or malingering, not illness anxiety disorder, which involves genuine fear without intentional deception.

Choice C:

Clients with illness anxiety disorder show distress, not indifference; their anxiety is centered on the possibility of serious illness.

Choice D:

Not all listed statements are true; only the misinterpretation of normal sensations aligns with the diagnostic criteria for illness anxiety disorder.

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Question 2:

Which of the following statements would indicate that teaching about somatic symptom disorder has been effective?

A. “The doctor believes I am faking my symptoms.” B. “If I try harder to control my symptoms, I will feel better.” C. “I will feel better when I begin handling stress more effectively.” D. “Nothing will help me feel better physically.”

Answer and Explanation

Choice A:

Believing the doctor thinks symptoms are fake reflects misunderstanding and perpetuates stigma, not therapeutic insight.

Choice B:

Trying harder to control symptoms implies volitional control, which is inaccurate and reinforces guilt and frustration.

Choice C:

This statement reflects understanding that stress management can reduce symptom intensity, indicating insight into the psychological component of the disorder.

Choice D:

Hopelessness about improvement reflects cognitive distortion, not effective learning or engagement with treatment strategies.

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Question 3:

The client’s family asks the nurse, “What is illness anxiety disorder?” The best response by the nurse is, “Illness anxiety disorder is:

A. A persistent preoccupation with getting a serious disease.” B. An illness not fully explained by a diagnosed medical condition.” C. Characterized by a variety of symptoms over a number of years.” D. The eventual result of excessive worrying about diseases.”

Answer and Explanation

Choice A:

This definition accurately captures the persistent preoccupation and fear of illness central to the disorder, aligning with DSM-5 criteria and clinical presentation.

Choice B:

Illness anxiety disorder is not defined by unexplained illness, but by fear of illness despite minimal symptoms.

Choice C:

Chronicity and variety of symptoms describe somatic symptom disorder, not illness anxiety disorder.

Choice D:

Excessive worry does not cause illness anxiety disorder; it is a symptom, not the outcome.

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Question 4:

A client with somatic symptom disorder has been attending group therapy. Which of the following statements indicates that therapy is having a positive outcome for this client?

A. “I feel better physically just from getting a chance to talk.” B. “I haven’t said much, but I get a lot from listening to others.” C. “I shouldn’t complain too much; my problems aren’t as bad as others’.” D. “The other people in this group have emotional problems.”

Answer and Explanation

Choice A:

Feeling physically better after talking reflects emotional release and growing awareness of the mind-body connection, a key therapeutic goal in somatic symptom disorder.

Choice B:

Passive listening may offer some benefit, but lack of engagement limits emotional processing and therapeutic growth.

Choice C:

Minimizing one’s own symptoms reflects suppression, not insight; it may hinder emotional validation and self-awareness.

Choice D:

Labeling others as having emotional problems shows externalization, which deflects personal insight and perpetuates denial.

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Question 5:

When planning care for a client with somatic symptom disorder, the nurse would include the following interventions: Select all that apply.

A. Confront the client with negative results from diagnostic testing. B. Encourage the client to participate in daily routine activities. C. Help the client see the relationship between physical symptoms and life stress/events. D. Provide additional 1:1 attention when the client discusses physical symptoms. E. Refuse to discuss or listen to any physical complaints the client may express. F. Validate the client’s physical and emotional distress.

Answer and Explanation

Choice A:

Confronting test results may provoke defensiveness and worsen anxiety, undermining therapeutic goals.

Choice B:

Encouraging daily activities promotes function, reduces symptom focus, and supports behavioral activation, which improves mood and coping.

Choice C:

Helping the client link symptoms to stress fosters insight and supports cognitive restructuring, a core component of therapeutic progress.

Choice D:

Providing extra attention during symptom discussion reinforces somatic focus, which perpetuates maladaptive coping.

Choice E:

Refusing to listen invalidates the client’s experience, damages rapport, and increases emotional distress.

Choice F:

Validation of distress builds rapport and therapeutic trust, essential for engagement and emotional regulation.

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Practice Exercise 3

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