Which would be considered an appropriate outcome when planning care for an inpatient client diagnosed with somatic symptom disorder?

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Question 1 of 5

Which would be considered an appropriate outcome when planning care for an inpatient client diagnosed with somatic symptom disorder?

Correct Answer:

Rationale: In the context of planning care for a client diagnosed with somatic symptom disorder, the appropriate outcomes would focus on addressing the client's physical symptoms and the underlying psychological distress causing them. It would not be appropriate to set a goal for the client to admit to fabricating symptoms, as this could be counterproductive and may not align with therapeutic goals for managing the symptoms and improving overall well-being. Instead, goals may involve helping the client understand and manage their symptoms, improving coping strategies, addressing underlying psychological factors contributing to the symptoms, and promoting overall mental health and quality of life.

Question 2 of 5

A client is diagnosed with illness anxiety disorder. Which of the following symptoms is the client most likely to exhibit? Select all that apply.

Correct Answer: A

Rationale: In the context of illness anxiety disorder, the correct symptom that the client is most likely to exhibit is obsessive-compulsive traits (Option A). This is because individuals with illness anxiety disorder often display excessive worry or preoccupation with the possibility of having a serious illness. These individuals may engage in compulsive behaviors such as frequent checking of their bodies for signs of illness or seeking reassurance from healthcare providers. Option B, pseudocyesis, is not typically associated with illness anxiety disorder. Pseudocyesis refers to a false belief of being pregnant and exhibiting physical symptoms of pregnancy despite not actually being pregnant. Option C, a disabling fear of having a serious illness, is a characteristic feature of illness anxiety disorder. However, this symptom is more general and does not specifically differentiate illness anxiety disorder from other conditions. Option D, multiple pronounced physical symptoms, may be present in illness anxiety disorder, but the key distinguishing feature lies in the excessive preoccupation and fear of having a serious illness rather than the sheer number of physical symptoms. Educationally, understanding the specific symptoms and diagnostic criteria of mental health disorders like illness anxiety disorder is crucial for healthcare professionals in accurately assessing and providing appropriate care for individuals experiencing these conditions. By differentiating between symptoms like obsessive-compulsive traits and other physical manifestations, practitioners can offer targeted interventions to support individuals with illness anxiety disorder effectively.

Question 3 of 5

A nursing student finds that she comes down with a sinus infection toward the end of every semester. When this occurs, which stage of stress is the student most likely experiencing?

Correct Answer: C

Rationale: The nursing student experiencing a sinus infection toward the end of every semester is most likely in the stage of exhaustion. In the general adaptation syndrome model of stress, this stage occurs when the body's resources have been depleted after prolonged exposure to stressors. The student's immune system may be weakened due to the chronic stress of academic demands and other stressors throughout the semester, making them more vulnerable to illnesses like sinus infections. Symptoms of exhaustion can manifest physically, emotionally, and mentally as the body struggles to cope with the ongoing stress. It is important for the student to prioritize self-care, manage stress levels, and seek support to prevent burnout and illness during challenging times.

Question 4 of 5

Meditation has been shown to be an effective stress management technique. When meditation is effective, what should a nurse expect to assess?

Correct Answer: A

Rationale: When meditation is effective, a nurse should expect to assess an achieved state of relaxation in the individual practicing meditation. Meditation techniques often focus on calming the mind and body, leading to a sense of deep relaxation, reduced stress levels, and an overall feeling of peace and well-being. This state of relaxation is a key indicator of the effectiveness of meditation in managing stress and promoting overall mental and emotional wellness.

Question 5 of 5

A nurse is evaluating a clients response to stress. What would indicate to the nurse that the client is experiencing a secondary appraisal of the stressful event?

Correct Answer: C

Rationale: In Lazarus and Folkman's Cognitive Appraisal Theory, secondary appraisal is the evaluation of the resources and coping strategies available to deal with a stressful event. Therefore, when the individual judges the resources and skills needed to deal with the event, it indicates that they are engaging in a secondary appraisal of the situation. This step is crucial in determining how the individual will cope with the stressor and manage the potential outcomes of the event. Options A, B, and D do not directly relate to the secondary appraisal process as defined in the theory.

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