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: The correct answer is C because the statement reflects persistent and severe somatic symptoms that are distressing to the client and significantly impact their daily life. This aligns with the criteria for complex somatic symptom disorder, which includes excessive thoughts, feelings, or behaviors related to somatic symptoms. Choices A, B, and D do not express the same level of distress, preoccupation, or impact on daily functioning as choice C, making them less indicative of complex somatic symptom disorder.

Correct Answer: C

Rationale: The correct answer is C: a combination of behavior therapy training that includes the child, the family, and the school. This is the most appropriate response because multisystemic treatment is a comprehensive approach involving various aspects of the adolescent's life. It targets behavior through therapy and involves not only the child but also the family and school to address underlying issues and promote positive change. Incorrect options: A: Immediate assessment for oppositional defiant disorder - This option focuses solely on a diagnosis and does not address the holistic approach of multisystemic treatment. B: Very upsetting, but just typical for teenagers - This option dismisses the seriousness of the situation and does not provide a constructive solution. D: A course of prescription medication - This option suggests a medical intervention, which is not typically the first-line approach for managing behavioral issues in adolescents.

Correct Answer: D

Rationale: The correct next comment for the nurse is D: "Are you comfortable conversing in English, or would you prefer to have a translator present?" This is the best choice because it directly addresses the patient's language preference and ensures effective communication. By asking this question, the nurse demonstrates cultural sensitivity and respect for the patient's linguistic needs. It also shows a willingness to accommodate the patient's communication preferences, promoting trust and understanding in the healthcare setting. Choice A is incorrect as it focuses on the patient's journey to the U.S., which is unrelated to the immediate healthcare assessment. Choice B assumes the patient needs help from a family member without first assessing the patient's language proficiency. Choice C, while offering an interpreter, does not directly inquire about the patient's language preference, potentially overlooking the patient's comfort level with English.

Correct Answer: B

Rationale: The correct answer is B: Oculogyric crisis. This condition is characterized by sustained upward deviation of the eyes, commonly seen with antipsychotic medications like haloperidol. Akathisia is restlessness and inability to sit still, not related to eye movement. Retrocollis is sustained backward neck extension, not eye movement. Tardive dyskinesia is characterized by involuntary movements of the face and body, not specifically eye movement.

Correct Answer: C

Rationale: The adult's statements indicate feelings of inadequacy and lack of confidence, which align with Erikson's stage of Autonomy versus shame and doubt. In this stage, individuals develop a sense of independence and self-assurance. The adult's expressions of self-doubt and disempowerment suggest an unresolved conflict from this stage. A: Initiative versus guilt - This stage pertains to developing a sense of purpose and direction in actions, not relevant to the adult's statements. B: Trust versus mistrust - This stage focuses on building trust in relationships, not directly related to the adult's self-perception issues. D: Generativity versus self-absorption - This stage involves contributing to society and future generations, not reflective of the adult's self-depreciating thoughts.