ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 32 : Somatic Symptom and Related Disorders Questions
Question 1 of 5
The nurse is caring for a client with complex somatic symptom disorder. When assessing this client, the nurse would be especially alert for symptoms of which of the following?
Correct Answer: A
Rationale: Complex somatic symptom disorder (CSS
D) is frequently comorbid with depression (
A) due to chronic distress from somatic symptoms. Avoidant personality disorder (
B) is less common, delirium (
C) involves acute cognitive changes unrelated to CSSD, and bipolar disorder (
D) is not typically associated.
Question 2 of 5
A client has made multiple visits to the clinic. The nurse suspects that the client may be experiencing complex somatic symptom disorder based on which of the following?
Correct Answer: C
Rationale: Repeated reports of the same somatic symptoms (
C) are characteristic of CSSD, reflecting persistent preoccupation with physical complaints. Psychological concerns (
A) are less specific, parental health (
B) is irrelevant, and social support needs (
D) are not diagnostic.
Question 3 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 4 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 5 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.