Question 1

A nurse is working with a client diagnosed with somatoform pain disorder. What predominant symptoms should a nurse expect to assess?

Accepted Answer

A) The client's predominant symptom focuses on discomfort in one or more anatomical sites. 
B) The client's predominant symptom affects voluntary motor or sensory functioning. 
C) The client's predominant symptom is the belief that the body is deformed or defective. 
D) The client's predominant symptom is the preoccupation and fear of having a serious disease. 
A) The client's predominant symptom focuses on discomfort in one or more anatomical sites. 
B) The client's predominant symptom affects voluntary motor or sensory functioning. 
C) The client's predominant symptom is the belief that the body is deformed or defective. 
D) The client's predominant symptom is the preoccupation and fear of having a serious disease. A

Question 2

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.)

Accepted Answer

A) "Have you taken any new medications recently?" 
B) "Have you recently traveled 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) "Have you taken any new medications recently?" 
B) "Have you recently traveled 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

Question 3

Which symptom exhibited by a client diagnosed with a conversion disorder would predict the poorest prognosis?

Accepted Answer

A) Seizures 
B) Blindness 
C) Aphonia 
D) Paralysis 
A) Seizures 
B) Blindness 
C) Aphonia 
D) Paralysis A

Question 4

Which are examples of primary and secondary gains that clients diagnosed with somatoform pain disorders may experience?

Accepted Answer

A) Primary: chooses to seek a new doctor; secondary: euphoric feeling from new medications 
B) Primary: euphoric feeling from new medications; secondary: chooses to seek a new doctor 
C) Primary: receives get-well messages; secondary: pain prevents attendance at family reunion 
D) Primary: pain prevents attendance at family reunion; secondary: receives get-well messages 
A) Primary: chooses to seek a new doctor; secondary: euphoric feeling from new medications 
B) Primary: euphoric feeling from new medications; secondary: chooses to seek a new doctor 
C) Primary: receives get-well messages; secondary: pain prevents attendance at family reunion 
D) Primary: pain prevents attendance at family reunion; secondary: receives get-well messages

Question 5

A client is diagnosed with hypochondriasis. Which of the following symptoms is the client most likely to exhibit? (Select all that apply.)

Accepted Answer

A) Obsessive-compulsive traits 
B) Pseudocyesis 
C) Anxiety 
D) Flat affect 
E) Depression 
A) Obsessive-compulsive traits 
B) Pseudocyesis 
C) Anxiety 
D) Flat affect 
E) Depression

Question 6

Which of the following combinations of somatoform disorder diagnoses and appropriate pharmacological treatment are correctly matched? (Select all that apply.)

Accepted Answer

A) Pain disorder treated with venlafaxine (Effexor) 
B) Hypochondriasis treated with cefadroxil (Duricef) 
C) Conversion disorder treated with cyclobenzaprine (Flexeril) 
D) Body dysmorphic disorder treated with clomipramine (Anafranil) 
E) Depersonalization treated with mometasone (Elocom) 
A) Pain disorder treated with venlafaxine (Effexor) 
B) Hypochondriasis treated with cefadroxil (Duricef) 
C) Conversion disorder treated with cyclobenzaprine (Flexeril) 
D) Body dysmorphic disorder treated with clomipramine (Anafranil) 
E) Depersonalization treated with mometasone (Elocom)

Question 7

A client is diagnosed with dissociative identity disorder (DID). What is the primary goal of therapy for this client?

Accepted Answer

A) To recover memories and improve thinking patterns 
B) To prevent social isolation 
C) To decrease anxiety and need for secondary gain 
D) To collaborate among subpersonalities to improve functioning 
A) To recover memories and improve thinking patterns 
B) To prevent social isolation 
C) To decrease anxiety and need for secondary gain 
D) To collaborate among subpersonalities to improve functioning

Question 8

What symptom differentiates dissociative fugue from dissociative amnesia?

Accepted Answer

A) Clients diagnosed with dissociative fugue experience symptoms that are precipitated by extreme stress, and clients diagnosed with dissociative amnesia do not. 
B) Clients diagnosed with dissociative fugue are unaware of their memory loss, whereas clients diagnosed with dissociative amnesia are aware of their forgetfulness. 
C) Clients diagnosed with dissociative amnesia assume a new identity, and clients diagnosed with dissociative fugue do not. 
D) Clients diagnosed with dissociative amnesia usually recover completely, whereas clients diagnosed with dissociative fugue display residual effects. 
A) Clients diagnosed with dissociative fugue experience symptoms that are precipitated by extreme stress, and clients diagnosed with dissociative amnesia do not. 
B) Clients diagnosed with dissociative fugue are unaware of their memory loss, whereas clients diagnosed with dissociative amnesia are aware of their forgetfulness. 
C) Clients diagnosed with dissociative amnesia assume a new identity, and clients diagnosed with dissociative fugue do not. 
D) Clients diagnosed with dissociative amnesia usually recover completely, whereas clients diagnosed with dissociative fugue display residual effects.

Question 9

A client diagnosed with dissociative identity disorder (DID) switches personalities when confronted with destructive behavior. The nurse recognizes that this dissociation serves which function?

Accepted Answer

A) It is a means to attain secondary gain. 
B) It is a means to explore feelings of excessive and inappropriate guilt. 
C) It serves to isolate painful events so that the primary self is protected. 
D) It serves to establish personality boundaries and limit inappropriate impulses. 
A) It is a means to attain secondary gain. 
B) It is a means to explore feelings of excessive and inappropriate guilt. 
C) It serves to isolate painful events so that the primary self is protected. 
D) It serves to establish personality boundaries and limit inappropriate impulses.

Question 10

A client diagnosed with somatization disorder is most likely to exhibit which personality disorder characteristic?

Accepted Answer

A) Experiences intense and chaotic relationships with fluctuating attitudes toward others 
B) Socially irresponsible, exploitative, guiltless, and disregards rights of others 
C) Self-dramatizing, attention seeking, overly gregarious, and seductive 
D) Uncomfortable in social situations, perceived as timid, withdrawn, cold, and strange 
A) Experiences intense and chaotic relationships with fluctuating attitudes toward others 
B) Socially irresponsible, exploitative, guiltless, and disregards rights of others 
C) Self-dramatizing, attention seeking, overly gregarious, and seductive 
D) Uncomfortable in social situations, perceived as timid, withdrawn, cold, and strange

Question 11

Which should the nurse recognize as an example of systematized amnesia?

Accepted Answer

A) A client cannot relate any lifetime memories, including personal identity. 
B) A client can relate family memories but has no recollection of a particular brother. 
C) A client cannot remember events surrounding a fatal car accident. 
D) A client whose home was destroyed by a tornado only remembers waking up in the hospital. 
A) A client cannot relate any lifetime memories, including personal identity. 
B) A client can relate family memories but has no recollection of a particular brother. 
C) A client cannot remember events surrounding a fatal car accident. 
D) A client whose home was destroyed by a tornado only remembers waking up in the hospital.

Question 12

Which would be considered an appropriate outcome when planning care for an inpatient client diagnosed with somatization disorder?

Accepted Answer

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. 
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.

Question 13

Neurological tests have ruled out pathology in a client's sudden lower-extremity paralysis. Which nursing care should be included for this client?

Accepted Answer

A) Deal with physical symptoms in a detached manner. 
B) Challenge the validity of physical symptoms. 
C) Meet dependency needs until the physical limitations subside. 
D) Encourage a discussion of feelings about the lower-extremity problem. 
A) Deal with physical symptoms in a detached manner. 
B) Challenge the validity of physical symptoms. 
C) Meet dependency needs until the physical limitations subside. 
D) Encourage a discussion of feelings about the lower-extremity problem.

Question 14

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

Accepted Answer

A) Encourage exploration of sexual abuse 
B) Encourage guided imagery 
C) Establish trust and rapport 
D) Administer antianxiety medications 
A) Encourage exploration of sexual abuse 
B) Encourage guided imagery 
C) Establish trust and rapport 
D) Administer antianxiety medications

Question 15

A nursing instructor is teaching about the etiology of hypochondriasis from a psychoanalytical perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred?

Accepted Answer

A) "They express personal worthlessness through physical symptoms because physical problems are more acceptable than psychological problems." 
B) "When the sick role relieves them from stressful situations, their physical symptoms are reinforced." 
C) "They misinterpret and cognitively distort their physical symptoms." 
D) "They tend to have a familial predisposition to this disorder." 
A) "They express personal worthlessness through physical symptoms because physical problems are more acceptable than psychological problems." 
B) "When the sick role relieves them from stressful situations, their physical symptoms are reinforced." 
C) "They misinterpret and cognitively distort their physical symptoms." 
D) "They tend to have a familial predisposition to this disorder."

Exam 30: Somatoform and Disassociative Disorders

A nurse is working with a client diagnosed with somatoform pain disorder. What predominant symptoms should a nurse expect to assess?

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.)

Which symptom exhibited by a client diagnosed with a conversion disorder would predict the poorest prognosis?

Which are examples of primary and secondary gains that clients diagnosed with somatoform pain disorders may experience?

A client is diagnosed with hypochondriasis. Which of the following symptoms is the client most likely to exhibit? (Select all that apply.)

Which of the following combinations of somatoform disorder diagnoses and appropriate pharmacological treatment are correctly matched? (Select all that apply.)

A client is diagnosed with dissociative identity disorder (DID). What is the primary goal of therapy for this client?

What symptom differentiates dissociative fugue from dissociative amnesia?

A client diagnosed with dissociative identity disorder (DID) switches personalities when confronted with destructive behavior. The nurse recognizes that this dissociation serves which function?

A client diagnosed with somatization disorder is most likely to exhibit which personality disorder characteristic?

Which should the nurse recognize as an example of systematized amnesia?

Which would be considered an appropriate outcome when planning care for an inpatient client diagnosed with somatization disorder?

Neurological tests have ruled out pathology in a client's sudden lower-extremity paralysis. Which nursing care should be included for this client?

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

A nursing instructor is teaching about the etiology of hypochondriasis from a psychoanalytical perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred?

The Concept of Stress Adaptation

Mental Healthmental Illness: Historical and Theoretical Concepts

Theoretical Models of Personality Development

Concepts of Psychobiology

Ethical and Legal Issues in Psychiatricmental Health Nursing

Cultural and Spiritual Concepts Relevant to Psychiatricmental Health Nursing

Relationship Development

Therapeutic Communication

The Nursing Process in Psychiatricmental Health Nursing

Therapeutic Groups

Intervention With Families

Milieu Therapy - the Therapeutic Community

Crisis Intervention

Relaxation Therapy

Assertiveness Training

Promoting Self Esteem

Angeraggression Management

Intervention With a Suicidal Client

Behavior Therapy

Cognitive Therapy

Electroconvolusive Therapy

Complementary Therapies

Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence

Delirium, Dementia, and Amnestic Disorders

Substance-Related Disorders

Schizophrenia and Other Psychotic Disorders

Mood Diorders: Depression

Mood Disorders: Bipolar Disorder

Anxiety Disorders

Issues Related to Human Sexuality and Gender Identity

Eating Disorders

Adjustment and Impulse Control Disorders

Personality Disorders

The Aging Individual

Victims of Abuse or Neglect

Community Mental Health Nursing

Forensic Nursing

The Bereaved Individual

Filters