Chapter 32

The nurse is caring for a client with complex somatic symptom disorder. When assessing this client, the nurse would be especially alert for symptoms of which of the following?

Depression

A client has made multiple visits to the clinic. The nurse suspects that the client may be experiencing complex somatic symptom disorder based on which of the following?

Reports of the same symptoms repeatedly

A client is being assessed for complex somatic symptom disorder. Which client statement would the nurse interpret as most likely supporting this diagnosis?

I am always in pain; there is nothing I can do to relieve it.

A client diagnosed with complex somatic symptom disorder and depression is prescribed medication therapy to treat both the pain and the symptoms of depression. When teaching the client about the medication, which of the following would the nurse emphasize?

Avoidance of foods that contain aged cheese

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?

Rapidly changing moods during the interview

The nurse is assisting in planning a series of group therapy sessions with several female clients diagnosed with complex somatic symptom disorder. The nurse plans to focus the sessions on which of the following as a priority?

Assertiveness skills

The nurse is caring for a client in the neighborhood clinic. The client tells the nurse that ever since he was an adolescent, he has avoided social situations because he has one ear that is obviously bigger than the other ear. The nurse observes that one of the clients ears does not appear to be larger than the other ear. The nurse suspects that the client may be experiencing which of the following?

Body dysmorphic disorder

A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the clients history, which of the following would the nurse most likely find?

Intentional self-injurious behavior

A client is admitted to the mental health unit because she was found trying to inject diluted feces into her hospitalized childs intravenous line. The client has a history of similar attempts of harming the child. The nurse would most likely suspect which of the following?

Munchausens syndrome by proxy

While assessing a client thought to have a factitious disorder, the nurse asks the client to describe when she felt nurtured as a child. Which response would the nurse interpret as supporting the clients diagnosis?

The only time I ever felt loved was when I was sick enough to miss school.

A nursing instructor is describing complex somatic symptom disorder to a group of nursing students. The instructor determines that the teaching was successful when the students state which of the following?

The first symptom usually appears during adolescence

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?

The symptoms reflect an emotion that your wife cannot verbalize.

A client with complex somatic symptom disorder is complaining of significant pain in the joints. When providing care to this client, which of the following would be most important for the nurse to keep in mind?

The clients experience of pain is real.

A client with complex somatic symptom disorder also has anxiety. Which of the following would the nurse expect to be prescribed?

Selective serotonin reuptake inhibitor (SSRI)

A nurse is providing care for a client who has complex somatic symptom disorder and is exhibiting anxiety about having a severe illness. Which of the following would be appropriate for the nurse to do? Select all that apply.

Listening closely to the clients report of symptoms; Acknowledging that what the client is saying may be real; Encouraging the client to write down symptoms in a journal; Reviewing symptom pattern with the client

A nursing instructor is preparing a class about functional neurologic symptoms. Which of the following would the instructor most likely include as an assessment finding? Select all that apply.

Difficulty swallowing; Aphonia; Blindness

A client with body dysmorphic disorder is admitted to the inpatient unit. Based on the nurses understanding about this disorder, the nurse would assess this client closely for which of the following?

Suicidal ideation

A nurse is working with a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse identify as the most difficult aspect of providing care to this client?

Developing the therapeutic relationship.

A nurse is evaluating the outcomes for a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse most likely identify as interfering with achievement?

Outcomes addressed overall issues

A nurse is preparing a plan of care for a client diagnosed with body dysmorphic disorder. Which nursing diagnosis would the nurse most likely identify as the priority?

Disturbed Body Image