The husband of a client diagnosed with complex som

Question 1 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?

A. There is definitely an underlying genetic link for this disorder.' B. Your wife is experiencing chronic stress that causes hypoarousal.' C. The symptoms reflect an emotion that your wife cannot verbalize.' D. The symptoms reflect an internal preoccupation with events.'

Correct Answer: C

Rationale: Rationale for correct answer (C): The nurse should explain that the symptoms of complex somatic symptom disorder can be manifestations of emotions that the client is unable to express verbally. This response addresses the psychological aspect of the disorder, which is a key component of somatic symptom disorders. Summary of incorrect choices: A: Genetic link is not the primary cause of complex somatic symptom disorder. B: Chronic stress leading to hypoarousal is not the typical explanation for this disorder. D: Internal preoccupation with events may be a feature of the disorder but does not explain the underlying cause related to emotional expression.

Question 2 of 5

A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention?

A. Place's cardiac monitoring B. Monitor the clients oxygen saturation level C. Provide standby assist with the client from bed D. Encourage foods high in potassium

Correct Answer: C

Rationale: The correct answer is C: Provide standby assist with the client from bed. This is appropriate after administering lisinopril, which can cause dizziness or lightheadedness. Assisting the client from bed ensures safety. Placing cardiac monitoring (A) is not necessary unless there are specific indications. Monitoring oxygen saturation (B) is not directly related to lisinopril administration. Encouraging foods high in potassium (D) is not the immediate priority post-lisinopril administration.

Question 3 of 5

In some cultures, therapeutic touch can be perceived as uncomfortable. What nursing interventions should the nurse implement when caring for a client who may have aversions to touch?

A. The nurse should avoid touching during initial interactions. B. The nurse should teach the client to incorporate touch in the communication process. C. The nurse should avoid talking to the client about feelings related to touch. D. The nurse should wear gloves during all client interactions.

Correct Answer: A

Rationale: The correct answer is A because respecting the client's preferences is essential in providing patient-centered care. By avoiding touching during initial interactions, the nurse acknowledges and accommodates the client's discomfort with touch, promoting a trusting and therapeutic relationship. Choice B is incorrect because forcing the client to incorporate touch in communication may further distress them. Choice C is incorrect as open communication about feelings related to touch is important for understanding and addressing the client's aversions. Choice D is incorrect as wearing gloves during all interactions is unnecessary and may not address the client's specific discomfort with touch.

Question 4 of 5

The older patient is discussing chronic pain and asks the primary care provider for a prescription. Which medication should the nurse anticipate being ordered rather than an opioid?

A. Gabapentin B. Acetaminophen C. Morphine D. Fentanyl

Correct Answer: A

Rationale: The correct answer is A: Gabapentin. Gabapentin is a medication commonly used to treat neuropathic pain, which is often associated with chronic pain in older patients. It is considered a safer alternative to opioids due to its lower risk of addiction and overdose. Acetaminophen (B) is an over-the-counter pain reliever but may not be sufficient for chronic pain. Morphine (C) and Fentanyl (D) are opioids, which have a higher risk of side effects, addiction, and overdose compared to Gabapentin. Therefore, Gabapentin is the most suitable choice for managing chronic pain in older patients.

Question 5 of 5

The school nurse is aware that a student has requested aspirin three times during the past week because his back hurts. The nurse has noticed that he often wears long-sleeved sweaters and sweatshirts even in warm weather. The nurse suspects that the student may be the victim of physical abuse. The nurse is preparing to ask the child about his ongoing backache. Which of the following would the nurse anticipate being reported by the child if he was being abused?

A. Explain that his father is beating him on a regular basis. B. Give a far-fetched explanation not logically connected to his injuries. C. Give the same reason his sister would give were she asked to explain his injuries. D. Carefully explain that his mother disciplines him because she loves him.

Correct Answer: B

Rationale: The correct answer is B because a victim of physical abuse may give a far-fetched explanation not logically connected to their injuries to protect their abuser or out of fear. In this scenario, the student requesting aspirin for back pain could potentially provide a vague or unrelated reason to explain the injuries if he is being abused. Choice A is incorrect because most victims of abuse are hesitant to report their abusers directly. Choice C is incorrect because it assumes the sister would give a similar explanation, which may not be the case. Choice D is incorrect because it presents a rationalization for abuse rather than a potential indicator of abuse. In summary, the correct answer, B, aligns with the behavior of abuse victims who may give inconsistent or illogical explanations to conceal the abuse.