ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 32 : Somatic Symptom and Related Disorders Questions
Question 1 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 2 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.
Question 3 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 4 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 5 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.