ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 32 Questions
Question 1 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 2 of 5
The husband of a client diagnosed with complex somatic symptom disorder asks the nurse, What causes this condition? Which response by the nurse would be most accurate?
Correct Answer: C
Rationale: CSSD symptoms often reflect unexpressed emotions (
C), as psychological distress manifests physically. Genetic links (
A) are not definitive, chronic stress (
B) is too vague, and preoccupation with events (
D) is less accurate than emotional expression.
Question 3 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.
Question 4 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 5 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.