ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 32 : Somatic Symptom and Related Disorders Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A client with complex somatic symptom disorder is complaining of significant pain in the joints. When providing care to this client, which of the following would be most important for the nurse to keep in mind?
Correct Answer: B
Rationale: The client?s pain experience in CSSD is real (
B), requiring validation to build trust and support treatment. Opioids (
A) are not primary due to dependency risks, complementary therapies (
C) can be beneficial, and biologic outcomes (
D) are secondary to psychological focus.
Question 5 of 5
A client with complex somatic symptom disorder also has anxiety. Which of the following would the nurse expect to be prescribed?
Correct Answer: B
Rationale: SSRIs (
B) are commonly prescribed for CSSD with anxiety due to their efficacy in managing both somatic and anxiety symptoms. MAOIs (
A) and TCAs (
C) are less preferred due to side effects, and atypical antipsychotics (
D) are not first-line.