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: D

Rationale: The correct answer is D because clients with complex somatic symptom disorder often exhibit rapidly changing moods during the interview due to the distress associated with their physical symptoms. This is a common manifestation of the emotional turmoil they experience. A: No facial expression is less likely as emotional expression is common. B: Intermittent nodding and glancing at the clock may suggest anxiety or distraction, but not specific to this disorder. C: Altered mental status is not a typical feature of complex somatic symptom disorder.

Correct Answer: B

Rationale: The correct answer is B because the statement reflects the hallmark symptom of agoraphobia, which is the fear of leaving one's safe space. The patient expresses the irrationality of their fear but still feels unable to go out. Choice A indicates optimism and a belief in overcoming the fear, not consistent with agoraphobia. Choice C suggests social support for staying home, which is not a characteristic of agoraphobia. Choice D implies the ability to go out with motivation, which is not in line with the persistent fear and avoidance seen in agoraphobia.

Correct Answer: A

Rationale: The correct answer is A because individuals with personality disorders often lack insight into their condition and may not seek help. This can lead to underreporting of symptoms and reluctance to engage in treatment. Maladaptive behaviors (B) are a symptom of personality disorders, not a reason for difficulty in diagnosis. Lack of reliable health history (C) may hinder diagnosis but is not specific to personality disorders. Lack of emotional response (D) from the client may be a symptom of certain personality disorders but is not the main reason for difficulty in diagnosis.

Correct Answer: D

Rationale: The correct answer is D: Tardive dyskinesia. Tardive dyskinesia is a potential side effect of long-term antipsychotic use, including chlorpromazine. It is characterized by involuntary repetitive movements, such as lip smacking or tongue protrusion. The nurse should monitor the client for early signs of tardive dyskinesia to prevent irreversible damage. Choices A, B, and C are incorrect: A: Weight loss is not typically associated with chlorpromazine use; in fact, weight gain is more common. B: Torticollis is a condition characterized by a twisted neck, which is not a common side effect of chlorpromazine. C: Hypoglycemia is not a known side effect of chlorpromazine; instead, it is more commonly associated with other medications like insulin or sulfonylureas.

Correct Answer: B

Rationale: The correct answer is B: Cultural identity. This is because the patient's statement reflects their sense of belonging and connection to their cultural group through shared values and practices related to family support and respect for elders. Acculturation (A) refers to adapting to a new culture, not necessarily reflecting one's existing cultural identity. Cultural competence (C) involves understanding and respecting different cultures, which is not explicitly demonstrated in the patient's statement. Linguistic competence (D) relates to the ability to communicate effectively in different languages, which is not the focus of the patient's statement.