Exam 17: Somatic Symptom Disorders

A child has a history of multiple hospitalizations for recurrent systemic infections.The child is not improving in the hospital,despite aggressive treatment.Factitious disorder by proxy is suspected.Which nursing interventions are appropriate? Select all that apply.

A patient diagnosed with a somatic symptom 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:

Which presentations suggest the possibility of a factitious disorder,self-directed type? Select all that apply.

Which prescription medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder?

A patient with fears of serious heart disease was referred to the mental health center by a cardiologist.Extensive diagnostic evaluation showed no physical illness.The patient says,"My chest is tight,and my heart misses beats.I'm often absent from work.I don't go out much because I need to rest." Which health problem is most likely?

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

A patient diagnosed with a somatic symptom disorder says,"Why has God chosen me to be sick all the time and unable to provide for my family? The burden on my family is worse than the pain I bear." Which nursing diagnoses apply to this patient? Select all that apply.

A nurse assessing a patient diagnosed with a somatic symptom disorder is most likely to note that the patient:

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

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

A nurse assesses a patient suspected of having somatic symptom disorder.Which assessment findings regarding this patient support the suspected diagnosis? Select all that apply.

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

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

A patient diagnosed with a 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 with a somatic symptom disorder has the nursing diagnosis Interrupted family processes related to patient's disabling symptoms as evidenced by spouse and children assuming roles and tasks that previously belonged to patient.An appropriate outcome is that the patient will:

A nurse assesses a patient diagnosed with conversion (functional neurological)disorder.Which comment is most likely from this patient?

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

A nurse's neighbor says,"I saw a news story about a man without any known illness who died suddenly after his ex-wife committed suicide.Was that a coincidence,or can emotional shock be fatal?" The nurse should respond by noting that some serious medical conditions may be complicated by emotional stress,including: (select all that apply)

Which comment by a patient who recently experienced a myocardial infarction indicates use of maladaptive,ineffective coping strategies?

A patient who experienced a myocardial infarction was transferred from critical care to a step-down unit.The patient then used the call bell every 15 minutes for minor requests and complaints.Staff nurses reported feeling inadequate and unable to satisfy the patient's needs.When the nurse manager intervenes directly with this patient,which comment is most therapeutic?