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Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 32 : Somatic Symptom and Related Disorders Questions
Question 1 of 5
The nurse is caring for a client in the neighborhood clinic. The client tells the nurse that ever since he was an adolescent, he has avoided social situations because he has one ear that is obviously bigger than the other ear. The nurse observes that one of the client?s ears does not appear to be larger than the other ear. The nurse suspects that the client may be experiencing which of the following?
Correct Answer: D
Rationale: Body dysmorphic disorder (
D) involves preoccupation with a perceived physical flaw, like an ear size discrepancy, not observed by others. CSSD (
A) involves broader somatic complaints, functional neurologic symptoms (
B) involve motor/sensory deficits, and factitious disorder (
C) involves intentional symptom fabrication.
Question 2 of 5
A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client?s history, which of the following would the nurse most likely find?
Correct Answer: B
Rationale: Factitious disorder involves fabricating symptoms, like pain, for psychological gain, such as attention (
B). Self-injury (
A) is more typical of borderline personality disorder, malingering (
C) seeks external gain, and restrictive parents (
D) are not specific.
Question 3 of 5
A client is admitted to the mental health unit because she was found trying to inject diluted feces into her hospitalized child?s intravenous line. The client has a history of similar attempts of harming the child. The nurse would most likely suspect which of the following?
Correct Answer: B
Rationale: Munchausen?s syndrome by proxy (
B) involves fabricating or inducing illness in another, typically a child, for attention, matching the client?s behavior. Schizoid traits (
A), functional symptoms (
C), and borderline personality (
D) do not involve harming others for attention.
Question 4 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 5 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).