ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 32 : Somatic Symptom and Related Disorders Questions
Question 1 of 5
A client is being assessed for complex somatic symptom disorder. Which client statement would the nurse interpret as most likely supporting this diagnosis?
Correct Answer: C
Rationale: Chronic, unrelieved pain (
C) strongly supports a CSSD diagnosis due to its persistent and distressing nature. Numbness (
A) suggests functional neurologic symptoms, weight loss (
B) aligns with eating disorders, and diarrhea (
D) is less specific to CSSD.
Question 2 of 5
A client diagnosed with complex somatic symptom disorder and depression is prescribed medication therapy to treat both the pain and the symptoms of depression. When teaching the client about the medication, which of the following would the nurse emphasize?
Correct Answer: C
Rationale: SSRIs or SNRIs, commonly used for CSSD and depression, may cause photosensitivity, making sunscreen use (
C) important. No-suicide contracts (
A) are not medication-related, aged cheese avoidance (
B) applies to MAOIs, and water limitation (
D) is irrelevant.
Question 3 of 5
The nurse is preparing to interview a client diagnosed with complex somatic symptom disorder. The nurse anticipates that the client will most likely exhibit which of the following?
Correct Answer: B
Rationale: Clients with CSSD often exhibit distracted behaviors like nodding and glancing at the clock (
B), reflecting preoccupation with symptoms. No facial expression (
A) suggests schizoid traits, altered mental status (
C) indicates delirium, and rapid mood changes (
D) suggest bipolar disorder.
Question 4 of 5
The nurse is assisting in planning a series of group therapy sessions with several female clients diagnosed with complex somatic symptom disorder. The nurse plans to focus the sessions on which of the following as a priority?
Correct Answer: B
Rationale: Positive self-talk (
B) is a priority in group therapy for CSSD to reframe negative symptom-focused thoughts, promoting coping. Medical causes (
A) may reinforce preoccupation, medication side effects (
C) are secondary, and assertiveness (
D) is less relevant.
Question 5 of 5
The nurse is caring for a client in the neighborhood clinic. The client tells the nurse that ever since he was an adolescent, he has avoided social situations because he has one ear that is obviously bigger than the other ear. The nurse observes that one of the client?s ears does not appear to be larger than the other ear. The nurse suspects that the client may be experiencing which of the following?
Correct Answer: D
Rationale: Body dysmorphic disorder (
D) involves preoccupation with a perceived physical flaw, like an ear size discrepancy, not observed by others. CSSD (
A) involves broader somatic complaints, functional neurologic symptoms (
B) involve motor/sensory deficits, and factitious disorder (
C) involves intentional symptom fabrication.