Exam (elaborations)
Chapter 29. Somatic Symptom and Dissociative Disorders
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 29. Somatic Symptom and Dissociative Disorders
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Chapter 29. Somatic Symptom and Dissociative DisordersMULTIPLE CHOICE
1. Which student statement indicates an understanding regarding dissociative identity disorder
(DID)?
1. “I suspect my client inherited this disease from his parent.”
2. “It is unlikely my client had a diagnosis of schizophrenia before DID, since the two do not
go hand in hand.”
3. “My client experiences periods of blackouts, or lost time wheraebihrbe.codmo/etessnt ’t
know what happened during that time frame.”
4. “I assume my client has other personalities because he doesn’t want to deal with real life.”
ANS: 3
Chapter: Chapter 29, Somatic Symptom and Dissociative Disorders
Objective: Describe various types of somatic symptom and dissociative disorders and identify
symptomatology associated with each; use this information in cliaebnirbt .acosmse/tesstment.
Page: 611
Heading: Dissociative Identity Disorder
Integrated Processes: Nursing Process
Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation [Evaluating]
Concept: Stress
Difficulty: Moderate
, Feedback
1. This is incorrect. The student does not understand the teaching if they think DID is
genetic.
2. This is incorrect. The student does not understand the teaching if they think
schizophrenia is not typically a prior diagnosis preceding DabIiDrb..com/test
3. This is correct. A client with DID typically has gaps in time, or blackouts, where
they may wake up and not know what happened when they have personality splits.
The student understands the teaching when they make thisasbtirabt.ecomme/tnestt.
4. This is incorrect. This statement requires further teaching; a client develops DID to
deal with past trauma.
CON: Stress
2. The nurse is working with a client diagnosed with somatic symptom disorder. Which
, Townsend
PMHN, 10e
Chapter 29 - ETB
abirb.com/test
predominant symptoms would the nurse expect to assess?
1. Disproportionate and persistent thoughts about the seriousness of one’s symptoms
2. Amnestic episodes in which the client is pain free
3. Excessive time spent discussing psychosocial stressors
4. Lack of physical symptoms
ANS: 1
Chapter: Chapter 29, Somatic Symptom and Dissociative Disorders
Objective: Describe various types of somatic symptom and dissociative disorders and identify
symptomatology associated with each; use this information in cliaebnirbt .acosmse/tesstment.
Page: 605
Heading: Background Assessment Data: Types of Somatic Symptom Disorders > Somatic
Symptom Disorder
Integrated Processes: Nursing Process
Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
Feedback
1. This is correct. The primary focus in somatic symptom disorder is on physical
symptoms that suggest medical disease but which have no basis in organic
pathology. Although the symptoms are associated with psyacbhirbo.csoomc/iteaslt
distress, the individual focuses on the seriousness of the physical symptoms
rather than the underlying psychosocial issues.
2. This is incorrect. Amnestic episodes in which the client is apbairibn.cforme/etesat re
symptoms of a dissociative disorder.
3. This is incorrect. Excessive time spent discussing psychosocial stressors is a
symptom of a dissociative disorder.
4. This is incorrect. There are physical symptoms associated wabirtbh.cosmo/tesattic
symptom
disorder.
CON: Stress
3. Which outcome is appropriate when planning care for an inpatient client diagnosed with
somatic symptom disorder?
1. The client will admit to fabricating physical symptoms to gain benefits by day 3.
2. The client will list three potential adaptive coping strategies toabdireba.clowm/itethst stress by
day 2.
3. The client will comply with medical treatments for physical symptoms by day 3.
4. The client will openly discuss physical symptoms with staff by day 4.
ANS: 2
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