ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 32 : Somatic Symptom and Related Disorders Questions
Question 1 of 5
A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client?s history, which of the following would the nurse most likely find?
Correct Answer: B
Rationale: Factitious disorder involves fabricating symptoms, like pain, for psychological gain, such as attention (
B). Self-injury (
A) is more typical of borderline personality disorder, malingering (
C) seeks external gain, and restrictive parents (
D) are not specific.
Question 2 of 5
A client is admitted to the mental health unit because she was found trying to inject diluted feces into her hospitalized child?s intravenous line. The client has a history of similar attempts of harming the child. The nurse would most likely suspect which of the following?
Correct Answer: B
Rationale: Munchausen?s syndrome by proxy (
B) involves fabricating or inducing illness in another, typically a child, for attention, matching the client?s behavior. Schizoid traits (
A), functional symptoms (
C), and borderline personality (
D) do not involve harming others for attention.
Question 3 of 5
While assessing a client thought to have a factitious disorder, the nurse asks the client to describe when she felt nurtured as a child. Which response would the nurse interpret as supporting the client?s diagnosis?
Correct Answer: C
Rationale: Feeling nurtured only when sick (
C) supports factitious disorder, as it suggests a pattern of seeking attention through illness. Lack of nurturing (
A), academic achievement (
B), or parental apologies (
D) are less specific to this disorder.
Question 4 of 5
A nursing instructor is describing complex somatic symptom disorder to a group of nursing students. The instructor determines that the teaching was successful when the students state which of the following?
Correct Answer: B
Rationale: CSSD symptoms often first appear in adolescence (
B), aligning with its chronic nature. It is more common in women (
A), not strongly linked to substance abuse (
C), and not specific to highly educated individuals (
D).
Question 5 of 5
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?
Correct Answer: C
Rationale: CSSD symptoms often reflect unexpressed emotions (
C), as psychological distress manifests physically. Genetic links (
A) are not definitive, chronic stress (
B) is too vague, and preoccupation with events (
D) is less accurate than emotional expression.