Which of the following is a disorder characterized by a preoccupation with an imagined or exaggerated defect in physical appearance, such as thinking one's nose is too large?
Conversion disorder
Hypochondriasis
Body dysmorphic disorder
Somatization disorder
Body dysmorphic disorder
Which of the following drug classifications has been shown to be effective in treating somatization disorders?
Antimanics
Antianxiety medications
Antipsychotics
SSRIs
SSRIs
A client's family member asks the nurse, "What is a conversion disorder?" Which of the following is the best response by the nurse?
It is characterized by multiple physical symptoms.
It is a preoccupation with the fear that one has a serious disease.
It involves unexplained, usually sudden, deficits in sensory or motor function.
It is a preoccupation with an imagined or exaggerated defect in physical appearance.
It involves unexplained, usually sudden, deficits in sensory or motor function
All of the following disease processes are caused by stress except which one?
Colitis
Diabetes
Hypertension
DVT
Deep vein thrombosis
Which of the following is an inaccurate statement regarding malingering?
People who malinger usually do not stop the physical symptoms when given a reward.
People who malinger have no real physical symptoms.
It is the intentional production of false or grossly exaggerated physical or psychological symptoms.
It is motivated by external incentives.
People who malinger usually do not stop the physical symptoms when given a reward
The la belle indifference occurs in which of the following somatoform disorders?
Somatization disorder
Conversion disorder
ypochondriasis
Body dysmorphic disorder
Conversion disorder
Which of the following terms describes the conversion of unexpressed emotions into physical symptoms?
Psychosomatic
La belle
indifference
Somatization
Hysteria
Somatization
Which medication classification has been shown to be effective in some cases of somatoform disorders?
Antibiotics
Antimanics
Antipsychotics
SSRIs
serotonin reuptake inhibitors (SSRIs)
With treatment, conversion disorder often remits in a few weeks but recurs in approximately which percentage of clients?
10%
50%
35%
25%
25%
Which of the following is the name given to a direct external benefit that being sick provides, such as relief from anxiety?
Primary gain
Malingering
Secondary gain
La belle indifference
Primary gain
A client is prescribed sertaline (Zoloft) for treatment of a somatoform disorder. The nurse would instruct the client to be alert to which of the following side effects?
Vomiting
Increased appetite
Headache
Constipation
Headache
Clients in which continent or country may have symptoms of somatization disorder that include the nondelusional sensation of worms in the head or ants under the skin?
Greece
Africa
China
North
America
Africa
The major difference between somatoform disorders and factitious disorders is what?
In somatoform disorders, clients are not consciously aware that they are meeting needs through physical complaints.
In factitious disorders, clients are unaware that their symptoms are not real.
In somatoform disorders, clients consciously seek attention.
Factitious disorders respond much more readily to psychopharmacologic treatment than do somatoform disorders.
In somatoform disorders, clients are not consciously aware that they are meeting needs through physical complaints
One of the most important goals of treatment for clients with somatoform disorders is which of the following?
Managing the client's use of medical services
Restricting the client's use of medical services
Resolving the physical symptoms
Having the client accept that the physical symptoms are related to stress
Managing the client's use of medical services
The benefit derived from blocking psychological conflict from conscious awareness is called what?
Secondary gain
La belle indifference
Sick role reward
Primary gain
Primary gain
A client has been admitted to a hospital with inability to move his right arm. He has a diagnosis of conversion reaction. Which of the following consequences of this condition would be an example of primary gain?
Attention from his wife and children
Avoidance of jury duty
Medical leave from his high-stress job
Relief from anxiety
Relief from anxiety
The primary factor that differentiates somatization disorders from conversion disorders is what?
Somatization disorders usually affect the cardiac system, whereas conversion disorders do not.
Conversion disorders are always targeted at the respiratory system.
Somatization disorders are conscious, whereas conversion disorders are unconscious.
Somatization disorders affect multiple organ systems, whereas conversion disorders usually involve only one system.
Somatization disorders affect multiple organ systems, whereas conversion disorders usually involve only one system
The primary reason for considering cultural issue when caring for the client with somatization disorders is what?
Somatization disorders are only seen in a few cultures.
Somatization disorders are characterized by middle-class, Caucasian values expressions.
Somatization disorders usually only occur in the United States
Somatization disorders differ i type and frequency of symptoms and depend on the culture in which they are expressed.
Somatization disorders differ in type and frequency of symptoms and depend on the culture in which they are expressed
Which of the following is the most common problem in people with complex somatic symptom disorder (CSSD)?
Numbness and tingling in the extremeties
Muscle weakness
Nausea
Pain
Pain
The husband of a client diagnosed with complex somatic symptom disorder asks the nurse, "What causes this condition?" Which response by the nurse would be most accurate?
"The symptoms reflect an emotion that your wife cannot verbalize."
"Your wife is experiencing chronic stress that causes hypoarousal."
"There is definitely an underlying genetic link for this disorder."
"The symptoms reflect an internal preoccupation with events."
"The symptoms reflect an emotion that your wife cannot verbalize"
A client with complex somatic symptom disorder is complaining of significant pain in the joints. When providing care to this client, which of the following would be most important for the nurse to keep in mind?
Outcomes need to reflect the biologic aspects of the pain.
Complementary therapies are usually of little benefit.
Opioid analgesics are the primary mode of therapy.
The client's experience of pain is real.
The client's experience of pain is real
A nurse is caring for a client with conversion disorder. What immediate outcomes (within a week) indicate successful therapy for the client?
~select all that apply~
The client will express feelings related to inadequacy and fear.
The client will discuss problems and solve conflicts with family or friends.
The client will communicate the steps to solving the problems.
The client will communicate knowledge of the illness.
The client will identify the conflict underlying the physical symptoms experienced.
- The client will communicate the steps to solving the problems
- The client will identify the conflict underlying the physical symptoms
experienced
A nurse is assessing a client with conversion disorder. The client complains that his left side is paralyzed. Which statement made by the client would indicate "la belle indifference"?
"My paralysis doesn't bother me. I have accepted my disability."
"I am not able to walk or do anything at all. I am totally dependent on my mom."
"I am sure I will get well soon. This problem won't persist for long."
"Please do something to cure me. I am a burden to everybody."
"My paralysis doesn't bother me. I have accepted my disability"
The nurse is caring for a client with conversion disorder. The client reports having paralysis of the right side of the body. Which action by the nurse would constitute a secondary gain?
Feeding the client during mealtime
Discussing coping strategies that the client used in the past
Talking about family and friends with the client
Teaching the client techniques of medication and relaxation
Feeding the client during mealtime
A nurse is caring for a client with somatic symptom illness. The healthcare provider has prescribed sertraline, 80mg, to the client. What should the nurse monitor the client for after administering the drug?
~select all that apply~
Rashes
Insomnia
Headache
Dry
mouth
Diarrhea
- Headache
- Diarrhea
- Insomnia
A nurse is assessing a client with hypochondriasis. Which sings could the nurse expect to find in the client?
~select all that apply~
The client is preoccupied with himself.
The client is reluctant to participate in psychiatric treatment programs.
The client does not believe in the use of OTC medications.
The client will discuss many emotional problems.
The client reports having visited many physicians or hospitals.
- The client is preoccupied with himself
- The client reports having visited many physicians or hospitals
- The client is reluctant to participate in psychiatric treatment programs
Which of the following be most important for a nurse to do when caring for a client with somatic symptom disorder?
Ensure adherence to couseling
Administer prescribed pharacotherapy
Develop a sound, positive nurse-client relationship
Assist in developing a daily routine
Develop a sound, positive nurse-client relationship
A nurse is reading a journal article about children and somatic symptom disorder. Which of the following would the nurse expect to find as the most common symptoms reported by children with
this disorder?
~select all that apply~
Diarrhea
Fatigue
Tingling in the hands
Abdominal pain
Nausea
Headache
- Headache
- Abdominal pain
- Fatigue
- Nausea
Which of the following statements best reflects the pharmacologic treatment of somatic symptom disorder?
SSRIs are especially helpful for clients experiencing pain.
Monoamine oxidase inhibitors are effective in treating comorbid anxiety disorders.
Pharmacologic therapy is the primary mode of treatment.
No medications have been specifically recommended for somatic symptom disorder.
No medication have been specifically recommended for somatic symptom disorder
A student nurse asks the mental health nurse about when somatic symptom disorder (SSD) usually begins. The nurse responds by saying that the first symptoms often appear during which time?
Mid 30s
Early 20s
Adolescence
After age 40 years
Adolescence