A client experiences physical symptoms that are distressing and interfere with daily life. The client exhibits excessive responses to these symptoms and their health concerns. Which term describes this condition?
Factitious disorder.
Somatic symptom disorder.
Conversion disorder.
Illness anxiety disorder.
The Correct Answer is B
Choice A rationale:
"Factitious disorder.". Choice A is not the correct answer for this question. Factitious disorder involves intentionally producing or feigning physical or psychological symptoms in oneself to assume the sick role, but it's not primarily characterized by excessive responses to the symptoms. It is more about assuming the role of a patient for psychological reasons.
Choice B rationale:
"Somatic symptom disorder.". Choice B is the correct answer. Somatic symptom disorder is characterized by distressing physical symptoms that interfere with daily life. The individual's response to these symptoms is excessive, and they often become preoccupied with their health concerns. This condition differs from factitious disorder in that the symptoms are not intentionally produced for attention; they are genuinely experienced, but the distress and preoccupation become the central issue.
Choice C rationale:
"Conversion disorder.". Choice C is not the correct answer. Conversion disorder involves experiencing neurological-like symptoms, such as paralysis or blindness, that cannot be attributed to a medical condition. The symptoms often arise due to psychological stressors and are not intentionally produced or exaggerated for attention.
Choice D rationale:
"Illness anxiety disorder.". Choice D is not the correct answer. Illness anxiety disorder, formerly known as hypochondriasis, involves excessive worry about having a serious illness despite minimal or no medical evidence of such an illness. The focus is on the fear of having a disease, rather than the distressing physical symptoms described in the question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Hypnosis involves inducing a trance-like state to enhance focus and concentration, but it does not involve inserting needles into the body. It is often used for relaxation, pain management, and behavioral changes.
Choice B rationale:
Acupuncture is a non-pharmacological intervention that involves inserting thin needles into specific points on the body to stimulate energy flow, according to traditional Chinese medicine. This technique is believed to help rebalance the body's energy pathways and can be used to address various physical and psychological conditions.
Choice C rationale:
Biofeedback involves teaching individuals to control physiological processes such as heart rate, muscle tension, and blood pressure. It provides real-time information about these processes, allowing individuals to learn how to regulate them. However, it does not involve the insertion of needles into the body.
Choice D rationale:
Physical therapy focuses on improving physical function and mobility through exercises and techniques. It does not involve the use of needles or energy flow stimulation, making it less relevant to somatic symptom illness treatment compared to acupuncture.
Correct Answer is C
Explanation
Choice A rationale:
Discouraging the client from seeking professional help would be detrimental to their well-being. Somatic symptom illness often requires a multidisciplinary approach, involving both medical and psychological interventions. Encouraging professional help-seeking is essential for effective management.
Choice B rationale:
Promoting passive-aggressive behavior as a coping strategy is not appropriate. Passive-aggressive behavior can hinder effective communication and exacerbate the client's distress. Encouraging healthy coping mechanisms and addressing the underlying psychological factors is a more beneficial approach.
Choice C rationale:
Educating the client about the role of psychological factors is crucial because somatic symptom illness often has psychological components. Helping the client understand the mind-body connection can empower them to recognize how emotional stressors can manifest as physical symptoms. This knowledge can aid the client in managing their condition more effectively.
Choice D rationale:
Advising the client to continue avoiding physical activities is not recommended. Encouraging physical activity within the client's capabilities can have positive effects on their overall well-being. Avoidance of physical activities might lead to deconditioning and worsen the client's physical and emotional state.
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