Chapter 29 Flashcards
A client diagnosed with somatic symptom disorder is most likely to exhibit which personality disorder characteristics?
Expresses heightened emotionality, seductiveness, and strong dependency needs
A nurse is working with a client diagnosed with somatic symptom disorder. What predominant symptoms should a nurse expect to assess?
Disproportionate and persistent thoughts about the seriousness of one’s symptoms
Which would be considered an appropriate outcome when planning care for an inpatient client diagnosed with somatic symptom disorder?
The client will list three potential adaptive coping strategies to deal with stress by day 2.
Carly has been diagnosed with somatic symptom disorder. As the nurse is talking with Carly and her family, which of the following statements suggest primary or secondary gains that the physical symptoms are providing for the client?
Carly’s mother reports that someone from the family stays with Carly each night because the physical symptoms are incapacitating.
A nursing instructor is teaching about the etiology of dissociative disorders from a psychoanalytical perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred?
“Dissociative behaviors occur when individuals repress distressing mental information from their conscious awareness.”
An inpatient client is newly diagnosed with dissociative identity disorder (DID) stemming from severe childhood sexual abuse. Which nursing intervention takes priority?
Establish trust and rapport
A client diagnosed with dissociative identity disorder (DID) switches personalities when confronted with destructive behavior. The nurse recognizes that this dissociation serves which function?
It serves to isolate painful events so that the primary self is protected.
A client is diagnosed with dissociative identity disorder (DID). What is the primary goal of therapy for this client?
To collaborate among subpersonalities to improve functioning
Which of the following statements accurately describes dissociative fugue?
Dissociative fugue is characterized by sudden, unexpected travel or bewildered wandering with inability to recall some or all of one’s past.
Which should the nurse recognize as an example of localized amnesia?
A client cannot remember events surrounding a fatal car accident.
Neurological tests have ruled out pathology in a client’s sudden lower-extremity paralysis. Which nursing care should be included for this client?
Deal with physical symptoms in a detached manner.
The family of a client diagnosed with conversion disorder asks the nurse, “Will his paralysis ever go away?” Which of these responses by the nurse is evidence-based?
“Most symptoms of conversion disorder resolve within a few weeks.”
A client is diagnosed with illness anxiety disorder. Which of the following symptoms is the client most likely to exhibit? Select all that apply.
A. Obsessive-compulsive traits B. Pseudocyesis C. Disabling fear of having a serious illness D. Multiple pronounced physical symptoms E. Depression
A, C, E
A client is exhibiting symptoms of generalized amnesia. Which of the following questions should the nurse ask to confirm this diagnosis? Select all that apply.
A. “Can you tell me your name and where you live?”
B. “Have you ever traveled suddenly or unexpectedly away from home?”
C. “Have you recently experienced any traumatic event?”
D. “Have you ever felt detached from your environment?”
E. “Have you had any history of memory problems?”
A, C, E
Which of the following somatic symptom and dissociative disorders are identified with known effective pharmacological treatments for that disorder? Select all that apply.
A. Antidepressants have been used effectively in treating pain associated with somatic symptom disorder.
B. Lithium has been effective in treating illness anxiety disorder.
C. Muscle relaxants have been effective in resolving conversion disorder symptoms.
D. The antidepressant clomipramine (Anafranil) has shown promise in treating depersonalization-derealization disorder.
A, D
