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Exam (elaborations)

Mental: Ch 21 Somatic Symptom Disorders

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Which medication classification has been shown to be effective in some cases of somatoform disorders? A) Antibiotics B) Antipsychotics C) Antimanics D) Serotonin reuptake inhibitors (SSRIs) correct answer D) Serotonin reuptake inhibitors (SSRIs) A nurse is preparing a plan of care for a client diagnosed with body dysmorphic disorder. Which nursing diagnosis would the nurse likely identify as the priority? A) Disturbed body image B) Ineffective coping C) Low self-esteem D) Risk for other-directed violence correct answer A) Disturbed body image Over the past 5 years, a client has had two exploratory surgeries and numerous examinations for severe abdominal pain. All diagnostic and laboratory results have been negativing for organic problems. The client has had vague descriptions of periods of anxiety and depression and has continued to seek medical assistance for the abdominal pain and various other physical problems. The nurse would assess this client as using which defense mechanism? A) Displacement B) Repression C) Somatization D) Dissociation correct answer C) Somatization The nurse is seeing a an adolescent client who has attended the clinic frequently with vague reports of abdominal pain. Despite normal blood values, stool tests, and diagnotic imaging of the abdomen, the client continues to report symptoms. Which psychological factor may be contributing to the client's problem? A) The client is the head of the school debate team. B) The client is fearful of needles. C) The client's parents are considering getting divorced. D) The client recently received a low mark on an exam. correct answer C) The client's parents are considering getting divorced. Somatic symptom illness disorders are characterized by what?

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