Question 1

A patient with predominant pain disorder says,"My pain is from an undiagnosed injury.I can't take care of myself.I need pain medicine six or seven times a day.I feel like a baby because my family has to help me so much." It is important for the nurse to assess:

Accepted Answer

A) Mood 
B) Cognitive style 
C) Secondary gains 
D) Identity and memory

Question 2

A patient has blindness related to a functional neurological (conversion)disorder.To help the patient eat,the nurse should:

Accepted Answer

A) establish a "buddy" system with other patients who can feed the patient at each meal. 
B) expect the patient to feed him- or herself after explaining the arrangement of the food on the tray. 
C) direct the patient to locate items on the tray independently and feed self unassisted. 
D) address the needs of other patients in the dining room,and then feed this patient.

Question 3

A patient with depersonalization disorder tells the nurse,"It's starting again.I feel as though I'm going to float away." The nurse should help the patient by:

Accepted Answer

A) encouraging meditation. 
B) administering an anxiolytic medication. 
C) helping the patient visualize a pleasant scene. 
D) helping the patient focus on the here and now.

Question 4

Which treatment modality should a nurse recommend to help a patient with pain disorder cope more effectively?

Accepted Answer

A) Flooding 
B) Relaxation 
C) Response prevention 
D) Systematic desensitization

Question 5

The causes of somatic system disorders may be related to:

Accepted Answer

A) faulty perceptions of body sensations. 
B) traumatic childhood events. 
C) culture-bound phenomena. 
D) depressive equivalents.

Question 6

A patient's roommate has observed the patient behaving in uncharacteristic ways,but the patient cannot remember the episodes.A dissociative identity disorder is suspected.Which questions are most relevant to the assessment of this patient? Select all that apply.

Accepted Answer

A) "Are you sexually promiscuous?" 
B) "Do you think you need an antidepressant medication?" 
C) "Have you ever found yourself someplace and did not know how you got there?" 
D) "Are your memories of childhood clear and complete,or do you have blank spots?" 
E) "Have you ever found new things in your belongings that you can't remember buying?"

Question 7

Which assessment finding best supports dissociative fugue? The patient states:

Accepted Answer

A) "I cannot recall why I'm living in this town." 
B) "I feel as if I'm living in a fuzzy dream state." 
C) "I feel like different parts of my body are at war." 
D) "I feel very anxious and worried about my problems."

Question 8

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?

Accepted Answer

A) Social isolation 
B) Chronic low self-esteem 
C) Interrupted family processes 
D) Ineffective health maintenance

Question 9

A woman is 5'7" tall,weighs 160 pounds,and wears a size 8 shoe.She says,"My feet are huge.I've asked three orthopedists to surgically reduce my feet." The patient tries to buy shoes to make her feet look smaller,and in social settings conceals both feet under a table or chair.Which health problem is likely?

Accepted Answer

A) Dissociative fugue 
B) Prominent pain disorder 
C) Body dysmorphic disorder 
D) Depersonalization disorder

Question 10

A patient has blindness related to a functional neurological (conversion)disorder but is unconcerned about this problem.Which understanding should guide the nurse's planning for this patient? The patient is:

Accepted Answer

A) suppressing accurate feelings regarding the problem. 
B) relieving anxiety through the physical symptom. 
C) meeting needs through hospitalization. 
D) refusing to disclose genuine fears.

Exam 12: Somatoform Disorders and Dissociative Disorders

A patient with predominant pain disorder says,"My pain is from an undiagnosed injury.I can't take care of myself.I need pain medicine six or seven times a day.I feel like a baby because my family has to help me so much." It is important for the nurse to assess:

A patient has blindness related to a functional neurological (conversion) disorder.To help the patient eat,the nurse should:

A patient with depersonalization disorder tells the nurse,"It's starting again.I feel as though I'm going to float away." The nurse should help the patient by:

Which treatment modality should a nurse recommend to help a patient with pain disorder cope more effectively?

The causes of somatic system disorders may be related to:

A patient's roommate has observed the patient behaving in uncharacteristic ways,but the patient cannot remember the episodes.A dissociative identity disorder is suspected.Which questions are most relevant to the assessment of this patient? Select all that apply.

Which assessment finding best supports dissociative fugue? The patient states:

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?

A patient has blindness related to a functional neurological (conversion) disorder but is unconcerned about this problem.Which understanding should guide the nurse's planning for this patient? The patient is: