ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 32 : Somatic Symptom and Related Disorders Questions
Question 1 of 5
The nurse is preparing to interview a client diagnosed with complex somatic symptom disorder. The nurse anticipates that the client will most likely exhibit which of the following?
Correct Answer: B
Rationale: Clients with CSSD often exhibit distracted behaviors like nodding and glancing at the clock (
B), reflecting preoccupation with symptoms. No facial expression (
A) suggests schizoid traits, altered mental status (
C) indicates delirium, and rapid mood changes (
D) suggest bipolar disorder.
Question 2 of 5
The nurse is assisting in planning a series of group therapy sessions with several female clients diagnosed with complex somatic symptom disorder. The nurse plans to focus the sessions on which of the following as a priority?
Correct Answer: B
Rationale: Positive self-talk (
B) is a priority in group therapy for CSSD to reframe negative symptom-focused thoughts, promoting coping. Medical causes (
A) may reinforce preoccupation, medication side effects (
C) are secondary, and assertiveness (
D) is less relevant.
Question 3 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 4 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 5 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.