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