A client continually reports physical symptoms in the absence of objective clinical findings. The nurse should suspect which of the following disorders?

Dysthymia

Body dysmorphic disorder

Somatoform disorder

Major depressive disorder

Answer and Explanation

The Correct Answer is C

C Somatoform disorders are characterized by physical symptoms that suggest a medical condition but cannot be fully explained by a general medical condition, another mental disorder, or substance use. Individuals with somatoform disorders often experience distress or impairment due to these symptoms despite medical reassurance that no physical cause can be found.

A. Dysthymia is a type of persistent depressive disorder characterized by a depressed mood that lasts for at least two years. It typically involves emotional and behavioral symptoms rather than physical symptoms without clinical findings.

B. Body dysmorphic disorder involves a preoccupation with perceived defects or flaws in physical appearance that are not observable or appear slight to others. While it involves body image concerns, it does not manifest as physical symptoms in the absence of objective findings.

D. Major depressive disorder primarily involves mood disturbances such as sadness, loss of interest or pleasure, and changes in appetite or sleep. While physical symptoms like fatigue and changes in weight can occur, they are not typically reported persistently without objective clinical findings as seen in somatoform disorders.

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Correct Answer is ["A","C","D","F"]

Explanation

A. Irritability is a common symptom of depression in adolescents. They may become easily annoyed, frustrated, or angered, often over minor issues.

B. Euphoria, which refers to an exaggerated feeling of happiness or excitement, is not typically associated with depression. Instead, it may indicate a different mood disorder, such as bipolar disorder.

C. Adolescents with depression often experience decreased energy levels or fatigue. They may feel physically drained and lack motivation to engage in usual activities.

D. Social withdrawal and isolation from peers is a significant behavioral indicator of depression. Adolescents may avoid social activities, stop participating in hobbies, or spend more time alone.

E. Grandiosity refers to an exaggerated sense of one's importance, abilities, or achievements. This symptom is more characteristic of certain mood disorders like bipolar disorder or narcissistic personality disorder rather than depression.

F. Feelings of loneliness and social isolation are common in adolescents with depression. They may feel disconnected from others, even if they are physically present in social settings.

A. Loss of memory associated with sudden travel B. Adjustment of medication C. Monitoring of identities D. Reliving of traumatic events

Correct Answer is D

Explanation

D. Dissociative disorders, particularly post-traumatic stress disorder (PTSD) and acute stress disorder, can involve the reliving of traumatic events through flashbacks, nightmares, or intrusive memories.

Hospitalization may be required if the client experiences severe distress, is at risk of self-harm or harm to others during flashbacks.

A. Dissociative amnesia is characterized by significant memory loss that cannot be explained by ordinary forgetfulness. If a client experiences sudden travel and cannot remember how they arrived at a distant location, it could indicate dissociative amnesia. Hospitalization is not absolutely necessary.

B Dissociative disorders are primarily treated with psychotherapy rather than medication adjustments. However, if medication adjustments are necessary for co-occurring conditions or to manage symptoms like anxiety or depression, hospitalization is not necessary.

C. Monitoring of identities is typically done on an outpatient basis, unless there are additional complications or risks identified by a healthcare professional.

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A client continually reports physical symptoms in the absence of objective clinical findings. The nurse should suspect which of the following disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a group of adolescents regarding identifying behavioral indicators of depression. Which of the following manifestations should the nurse include? (Select all that apply.)

Correct Answer is ["A","C","D","F"]

Explanation

Hospitalization of a client with a dissociative disorder is required in which situation?

Correct Answer is D

Explanation

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