ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 32 : Somatic Symptom and Related Disorders Questions
Question 1 of 5
A nurse is providing care for a client who has complex somatic symptom disorder and is exhibiting anxiety about having a severe illness. Which of the following would be appropriate for the nurse to do? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Appropriate interventions for CSSD with anxiety include listening closely (
A), acknowledging the reality of symptoms (
C), journaling symptoms (
D), and reviewing patterns (E) to validate and manage distress. Discouraging fear discussion (
B) is non-therapeutic.
Question 2 of 5
A nursing instructor is preparing a class about functional neurologic symptoms. Which of the following would the instructor most likely include as an assessment finding? Select all that apply.
Correct Answer: A,D,E
Rationale: Functional neurologic symptoms (FNS) include difficulty swallowing (
A), aphonia (
D), and blindness (E), reflecting neurologic-like symptoms without organic cause. Spasticity (
B) and urinary frequency (
C) are less typical.
Question 3 of 5
A client with body dysmorphic disorder is admitted to the inpatient unit. Based on the nurse?s understanding about this disorder, the nurse would assess this client closely for which of the following?
Correct Answer: A
Rationale: Body dysmorphic disorder (BD
D) is associated with high rates of suicidal ideation (
A) due to distress over perceived flaws. Violence (
B) is not typical, anorexia (
C) is a separate disorder, and psychosis (
D) is rare in BDD.
Question 4 of 5
A nurse is working with a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse identify as the most difficult aspect of providing care to this client?
Correct Answer: C
Rationale: Developing a therapeutic relationship (
C) is the most challenging in CSSD due to mistrust and symptom preoccupation. Managing pain (
A), relieving anxiety (
B), and monitoring treatment (
D) are secondary to establishing trust.
Question 5 of 5
A nurse is evaluating the outcomes for a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse most likely identify as interfering with achievement?
Correct Answer: B
Rationale: Broad, non-specific outcomes addressing overall issues (
B) can interfere with achievement in CSSD due to lack of focus. Realistic (
A), small (
C), and specific (
D) outcomes support progress by being measurable and attainable.