ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 32 : Somatic Symptom and Related Disorders Questions
Question 1 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 2 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 3 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 4 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.
Question 5 of 5
A nurse is preparing a plan of care for a client diagnosed with body dysmorphic disorder. Which nursing diagnosis would the nurse most likely identify as the priority?
Correct Answer: A
Rationale: Disturbed Body Image (
A) is the priority nursing diagnosis for BDD, as it directly addresses the core issue of preoccupation with perceived flaws. Coping (
B), self-esteem (
C), and violence (
D) are secondary concerns.