Exam 16: Psychophysiological Responses and Somatoform and Sleep Disorders

A patient has had two rhinoplasties but continues to seek further surgery.The patient has been told repeatedly that further surgery is not indicated.The patient tells a nurse,"My life will be ruined unless my appearance can be improved." The patient's thinking suggests:

A patient says,"Although numerous assessments and diagnostic tests over the past year have shown no evidence of organic disease I'm still anxious and sure something is wrong." The nurse should suspect the presence of:

A nurse is working with a patient who has been diagnosed with a somatoform disorder.The patient asks,"My last tests didn't show anything.When will I have more diagnostic testing?" Which nursing response would be most therapeutic?

A patient is diagnosed with conversion disorder that is evidenced by paralysis of the right hand.Which nursing intervention should be implemented?

Which expected outcome would be appropriate for a patient with a somatoform disorder?

A business executive is in the cardiac care unit (CCU) after a myocardial infarction.When the patient is told that it is not possible to have a telephone in the room,the patient angrily berates the nurse and demands to see a physician.Which response by the nurse would be the most therapeutic?

A patient diagnosed with body dysmorphic disorder says,"I'm seriously dissatisfied with the appearance of my nose.It's ruining my life." A possible nursing diagnosis to consider for this patient is:

Which patient is most likely exhibiting a conversion disorder?

Which nursing actions would enhance the development of a therapeutic relationship with a patient diagnosed with a psychophysiological disorder? (Select all that apply.)

A patient diagnosed with hypochondriasis says,"No one believes I have a brain tumor! I have terrible headaches and episodes of blurred vision.I'm going to die." Which nursing approach fosters cognitive restructuring?

Which strategy would be most therapeutic when helping a patient with a psychophysiological disorder to develop insight?

A nurse plans care for a patient at risk for development of a psychophysiological disorder associated with multiple stressors.In the assessment of the patient's coping resources,which factor would the nurse consider initially?

A nurse is working with a patient exhibiting psychophysiological symptoms.It is important that the nurse understand that the patient's symptoms are:

A nurse is caring for a patient diagnosed with extreme stress.The nurse is focusing interventions on the promotion of adaptive psychophysiological patient responses.Which intervention is included in the plan of care?

Which type of treatment is likely to be effective for a patient diagnosed with body dysmorphic disorder whose nose is the focus of concern?

Which patient is most likely exhibiting a somatization disorder?

Which intervention should a nurse select to help a patient cope more effectively with chronic pain disorder?

A patient with a history of insomnia has been taking 15 mg of chlordiazepoxide (Librium) at bedtime for the past year.The patient reports having difficulty falling asleep and wakes up frequently during the night.The most appropriate nursing diagnosis to consider is:

Which patient would be at greatest risk of encountering the exhaustion phase of the general adaptation syndrome?

A staff nurse decides to ignore an unfavorable evaluation from the nurse manager but now complains about getting little satisfaction from work,feels tired all the time,and can't wait for the shift to end.The nurse's behavior is characteristic of which stage of the general adaptation syndrome?