ATI LPN
Psychiatric Mental Health Nursing 8th Edition
Chapter 21 Questions
Question 1 of 5
Which of the following terms are applicable when a person inflicts illness or injury on someone else to gain the attention of emergency medical personnel or to be a 'hero' for saving the victim?
Correct Answer: C
Rationale: Munchausen's syndrome by proxy involves inflicting harm on another to gain attention or hero status.
Question 2 of 5
The husband of a woman with a somatic symptom illness asks the nurse why the doctors cannot find anything wrong with her. Which would be the appropriate explanation for the nurse to offer?
Correct Answer: B
Rationale: Somatic symptom illnesses cause real symptoms due to mental distress, not consciously controlled or fabricated, despite negative diagnostic results.
Question 3 of 5
The client asks the nurse, 'What does having psychosomatic symptoms mean?' What should the nurse reply?
Correct Answer: B
Rationale: Psychosomatic symptoms are real physical manifestations caused or worsened by stress or emotions, not imagined or consciously controlled.
Question 4 of 5
A client with a somatic symptom illness asks, 'Why do I have these symptoms?' Which would be the appropriate explanation for the nurse to offer?
Correct Answer: D
Rationale: Somatic symptom illnesses involve physical symptoms without an organic basis, involuntarily expressing psychological conflict.
Question 5 of 5
The nurse has encouraged the client with a somatic symptom illness to keep a journal. Which treatment outcome might be met by journaling?
Correct Answer: D
Rationale: Journaling helps clients recognize the link between stress and physical symptoms, fostering insight into the mind-body connection.