Warrens college roommate actively resists going out with friends whenever they invite him. He says he cant stand to be around other people and confides to Warren They wouldnt like me anyway. Which disorder is Warrens roommate likely suffering from?

Correct Answer: C

Rationale: Warren's roommate's reluctance to go out with friends and belief that others wouldn't like him suggest social anxiety disorder, also known as social phobia. People with social anxiety disorder have an intense fear of social situations and interactions, often due to feelings of inadequacy, embarrassment, or humiliation. They may avoid social gatherings or endure them with extreme discomfort. The roommate's belief that others wouldn't like him is also a common feature of social anxiety, as individuals with this disorder often have negative self-beliefs and worry excessively about judgment from others. Agoraphobia involves fear of situations or places that may be difficult to escape or get help in, Mysophobia is fear of germs or contamination, and Panic disorder involves recurrent unexpected panic attacks which are not mentioned in the scenario.

Correct Answer: A

Rationale: In somatic symptom disorder, the predominant symptoms that a nurse should expect to assess involve disproportionate and persistent thoughts about the seriousness of one's physical symptoms. Individuals with this disorder often have excessive concerns about their health and strong beliefs that they have a serious medical condition despite reassurances from healthcare providers. These individuals may frequently seek medical evaluations and treatments for their symptoms, even when there is no clear medical explanation for their complaints. It is important for the nurse to assess and address these cognitive factors and provide appropriate support and interventions to help the client manage their symptoms.

Correct Answer: C

Rationale: The nurse recognizes that dissociation in a client with dissociative identity disorder (DID) serves to isolate painful events so that the primary self is protected. Dissociation in DID involves a disruption of identity, memory, or consciousness that can serve as a coping mechanism to protect the individual from overwhelming experiences or emotions. When a client switches personalities in the face of destructive behavior, it is often a way for the primary self to distance itself from the distressing situation and maintain a sense of self-preservation. By dissociating and allowing other personalities to emerge, the primary self can avoid direct confrontation with the destructive behavior or memories associated with it. This function of dissociation helps to limit the impact of painful events on the primary self and maintain a sense of psychological safety.

Correct Answer: A

Rationale: The most evidence-based response by the nurse is: "Most symptoms of conversion disorder resolve within a few weeks." It is important to assure the family that in most cases of conversion disorder, symptoms do improve and can resolve over time. Research shows that the majority of individuals with conversion disorder improve or recover, especially with appropriate treatment, such as therapy focused on addressing underlying psychological issues or stressors. Providing hope and optimism to the family is essential in supporting the client's recovery. It is crucial to avoid making assumptions or accusations about the client's condition, as seen in the other answer choices, and focus on providing accurate information and support.