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