Question 1

A client is diagnosed with Illness Anxiety Disorder.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) Disabling fear of having a serious illness 
D) Multiple pronounced physical symptoms 
E) Depression 
A) Obsessive-compulsive traits 
B) Pseudocyesis 
C) Disabling fear of having a serious illness 
D) Multiple pronounced physical symptoms 
E) Depression

Question 2

Janie is a healthy female adolescent with no history of substance abuse who presents to the mental health clinic.Janie tells the nurse that she has experienced several episodes where she feels like she is watching a movie of herself where she is floating above and watching herself as an outside observer.Janie asks the nurse what is wrong with her.Which statement made by the nurse is most appropriate?

Accepted Answer

A) "You have derealization disorder and must be treated for this immediately." 
B) "These may be symptoms of depersonalization disorder,but I'm going to suggest you meet with the psychiatrist for a diagnosis." 
C) "You must be schizophrenic.I'm going to ask the psychiatrist to run some tests on you." 
D) "I wouldn't worry about these symptoms.These are typical for female teenagers who are experiencing hormonal changes." 
A) "You have derealization disorder and must be treated for this immediately." 
B) "These may be symptoms of depersonalization disorder,but I'm going to suggest you meet with the psychiatrist for a diagnosis." 
C) "You must be schizophrenic.I'm going to ask the psychiatrist to run some tests on you." 
D) "I wouldn't worry about these symptoms.These are typical for female teenagers who are experiencing hormonal changes."

Question 3

Which should the nurse recognize as an example of localized 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 4

A client diagnosed with 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 5

A client is diagnosed with 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

Exam 29: Somatic Symptom and Dissociative Disorders

A client is diagnosed with Illness Anxiety Disorder.Which of the following symptoms is the client most likely to exhibit? Select all that apply.

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

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

A client is diagnosed with DID.What is the primary goal of therapy for this client?

The Concept of Stress Adaptation

Mental Health and Mental Illness: Historical and Theoretical Concepts

Concepts of Psychobiology

Psychopharmacology

Ethical and Legal Issues

Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing

Relationship Development

Therapeutic Communication

The Nursing Process in Psychiatric-Mental Health Nursing

Therapeutic Groups

Intervention With Families

Milieu Therapythe Therapeutic Community

Crisis Intervention

Assertiveness Training

Promoting Self-Esteem

Anger and Aggression Management

Suicide Prevention

Behavior Therapy

Cognitive Therapy

Electroconvulsive Therapy

The Recovery Model

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar and Related Disorders

Anxiety,obsessive-Compulsive,and Related Disorders

Trauma- and Stressor-Related Disorders

Issues Related to Human Sexuality and Gender Dysphoria

Eating Disorders

Personality Disorders

Children and Adolescents

The Aging Individual

Survivors of Abuse or Neglect

Community Mental Health Nursing

The Bereaved Individual

Military Families

Complementary and Psychosocial Therapies

Relaxation Therapy

Theoretical Models of Personality Development

Forensic Nursing

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