Exam 12: Somatic Symptom Disorders and Dissociative Disorders

An adult diagnosed with conversion (functional neurobiological symptom) disorder says, "Our family has gotten along over the years by working together. My partner cooks and the children clean house." Nursing interventions should recognize that the patient likely:

A patient is hospitalized with blindness of sudden onset. According to the spouse, the patient entered a room and found the spouse in a romantic embrace with a neighbor. The patient is unconcerned about the blindness and says, "I'm sure things will turn out all right." Which term best describes this reaction? A person comes to the clinic reporting, "I wear a scarf across my lower face when I go out because of my ugly appearance." Assessment reveals an average appearance with no actual disfigurement. Which problem is most likely?

A patient diagnosed with somatic symptom disorder has been in treatment for 4 weeks. The patient says, "Although I'm still having pain, I notice it less and am able to perform more activities." The nurse should evaluate the treatment plan as:

A patient reports fears of having cervical cancer and says to the nurse, "I've had Pap smears by six different doctors. The results are normal, but I'm sure that's because of errors in the laboratory." Which disorder would the nurse suspect?

A patient says, "I know I have a brain tumor despite the results of the magnetic resonance image (MRI). The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day." Which response by the nurse fosters cognitive restructuring?

To plan effective care for patients diagnosed with somatic system disorders, the nurse should understand that patients have difficulty giving up the symptoms because the symptoms:

A patient with blindness related to a functional neurological (conversion) disorder says, "All the doctors and nurses in this hospital stop by often to check on me. Too bad people outside the hospital don't find me interesting." Which nursing diagnosis is most relevant?

Which assessment finding best supports the diagnosis of dissociative amnesia with fugue? The patient states:

For a patient diagnosed with dissociative amnesia, complete this outcome: "Within 4 weeks, the patient will demonstrate an ability to execute complex mental processes by:

Select the correct etiology to complete this nursing diagnosis for a patient diagnosed with dissociative identity disorder: disturbed personal identity, related to: