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Nur 211 Somatic Symptom and Dissociative Disorders Template

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This is a comprehensive and detailed testbank on Chapter 29. Somatic Symptom and Dissociative Disorders for Nur 211. *Essential!!

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  • October 19, 2024
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  • 2021/2022
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PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 238



Chapter29.SomaticSymptomandDissociativeDisorders
MultipleChoice

1.Aclientdiagnosedwithsomaticsymptomdisorderismostlikelytoexhibitwhichpersonalitydisorder
characteristics?

A.Usessplittingandmanipulationinrelationships

B.Issociallyirresponsible,exploitative,andguiltlessanddisregardsrightsofothers

C.Expressesheightenedemotionality,seductiveness,andstrongdependencyneeds

D.Uncomfortableinsocialsituations;perceivedastimid,withdrawn,cold,andstrange

ANS:C

Ithasbeensuggestedthatinsomaticsymptomdisorder,theremaybesomeoverlappingofpersonality
characteristicsandfeaturesassociatedwithhistrionicpersonalitydisorder.Thesefeaturesincludeheightened
emotionality,impressionisticthoughtandspeech,seductiveness,strongdependencyneeds,anda
preoccupationwithsymptomsandoneself.Somaticsymptomdisorderischaracterizedbytheexpressionof
multiplesomaticcomplaintsassociatedwithpsychosocialdistressandwithoutmedicalbasis.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

2.Anurseisworkingwithaclientdiagnosedwithsomaticsymptomdisorder.Whatpredominantsymptoms
shouldanurseexpecttoassess?

A.Disproportionateandpersistentthoughtsabouttheseriousnessofonessymptoms
NURSINGTB.COM
B.Amnesticepisodesinwhichtheclientispainfree

C.Excessivetimespentdiscussingpsychosocialstressors

D.Lackofphysicalsymptoms

ANS:A

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psychosocialdistress,
theindividualfocusesontheseriousnessofthephysicalsymptomsratherthantheunderlyingpsychosocial
issues.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

3.Whichwouldbeconsideredanappropriateoutcomewhenplanningcareforaninpatientclientdiagnosed
withsomaticsymptomdisorder?

A.Theclientwilladmittofabricatingphysicalsymptomstogainbenefitsbyday3.

B.Theclientwilllistthreepotentialadaptivecopingstrategiestodealwithstressbyday2.

C.Theclientwillcomplywithmedicaltreatmentsforphysicalsymptomsbyday3.

D.Theclientwillopenlydiscussphysicalsymptomswithstaffbyday4.

ANS:B

Thenurseshoulddeterminethatanappropriateoutcomeforaclientdiagnosedwithsomaticsymptomdisorder




NURSINGTB.COM

, PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 239


wouldbefortheclienttolistthreepotentialadaptivecopingstrategiestodealwithstressbyday2.Becausethe
symptomsofsomaticsymptomdisorderareassociatedwithpsychosocialdistress,increasingcopingskillsmay
helptheclientreducesymptoms.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Planning|ClientNeed:
PsychosocialIntegrity

4.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?

A.ThefamilyagreesthatCarlybeganhavingphysicalsymptomsaftershelostherjob.

B.Carlystatesthateventhoughmedicaltestshavenotfoundanythingwrong,sheisconvincedherheadaches
areindicativeofabraintumor.

C.CarlysmotherreportsthatsomeonefromthefamilystayswithCarlyeachnightbecausethephysical
symptomsareincapacitating.

D.Carlystatesshenoticedfeelinghotterthanusualthelasttimeshehadaheadache.

ANS:C

Itisimportantforthenursetoidentifygainsthatthesymptomsmightbeprovidingfortheclient,sincethese
canreinforceillnessbehavior.Havingfamilyattendtothepatientwhensheissymptomaticcouldreinforce
increaseddependencyandattentionneeds.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

NURSINGTB.COM
5.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?

A.Dissociativebehaviorsoccurwhenindividualsrepressdistressingmentalinformationfromtheirconscious
awareness.

B.Whentheirphysicalsymptomsrelievethemfromstressfulsituations,theiramnesiaisreinforced.

C.Peoplewithdissociativedisorderstypicallyhavestrongegos.

D.Thereisclearandconvincingevidenceofafamilialpredispositiontothisdisorder.

ANS:A

Thenurseshouldunderstandthatfromapsychoanalyticalperspective,dissociationoccursbecauseof
repressionofpainfulinformationorexperiences.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity

6.Aninpatientclientisnewlydiagnosedwithdissociativeidentitydisorder(DID)stemmingfromsevere
childhoodsexualabuse.Whichnursinginterventiontakespriority?

A.Encourageexplorationofsexualabuse

B.Encourageguidedimagery

C.Establishtrustandrapport

D.Administerantianxietymedications




NURSINGTB.COM

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