A client is admitted to the inpatient psychiatric unit with a diagnosis of a somatoform disorder. Which statement does the nurse recognize as true about all somatoform disorders?
The client diagnosed with a somatoform disorder should have any new medical complaint evaluated.
The client diagnosed with a somatoform disorder can be easily cured with medication.
The client diagnosed with a somatoform disorder has a real medical diagnosis for their symptoms.
The client diagnosed with a somatoform disorder intentionally pretends to have physical symptoms.
The Correct Answer is A
Choice A Reason:
The client diagnosed with a somatoform disorder should have any new medical complaint evaluated.
This is the correct response. Clients with somatoform disorders often experience physical symptoms that cannot be fully explained by any underlying medical condition. However, it is crucial to evaluate any new medical complaints to rule out any actual medical conditions that may require treatment. This approach ensures that the client receives comprehensive care and that any potential medical issues are not overlooked.
Choice B Reason:
The client diagnosed with a somatoform disorder can be easily cured with medication.
This statement is incorrect. Somatoform disorders are complex and often require a multifaceted treatment approach, including psychotherapy, behavioral interventions, and sometimes medication to manage associated symptoms like anxiety or depression. There is no simple cure for somatoform disorders, and treatment typically focuses on managing symptoms and improving the client’s quality of life.
Choice C Reason:
The client diagnosed with a somatoform disorder has a real medical diagnosis for their symptoms.
While clients with somatoform disorders experience real and distressing symptoms, these symptoms are not typically linked to a diagnosable medical condition. The symptoms are believed to be related to psychological factors, and the focus of treatment is often on addressing these underlying psychological issues rather than finding a medical diagnosis.
Choice D Reason:
The client diagnosed with a somatoform disorder intentionally pretends to have physical symptoms.
This statement is incorrect. Clients with somatoform disorders do not intentionally fake their symptoms. Their symptoms are real to them and cause significant distress and impairment. The symptoms are not under the client’s conscious control, and they genuinely believe they are experiencing a medical condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A Reason:
Recognizing signs of escalating anxiety is a crucial skill for clients with GAD. This awareness allows them to identify early warning signs and implement coping strategies before anxiety becomes overwhelming. Early recognition can prevent the escalation of symptoms and reduce the impact on daily functioning. This skill is often developed through cognitive-behavioral therapy (CBT) and other therapeutic interventions that focus on self-awareness and self-monitoring.
Choice B Reason:
Avoiding all situations that cause stress is not a practical or effective strategy for managing GAD. While it is important to reduce unnecessary stress, complete avoidance can lead to increased anxiety and avoidance behaviors, which can worsen the disorde. Instead, clients are encouraged to develop coping strategies to manage stress and face anxiety-provoking situations gradually5. This approach helps build resilience and reduces the overall impact of anxiety on their lives.
Choice C Reason:
Recognizing the need to take medications as ordered is essential for effective management of GAD. Medication adherence ensures that the client maintains therapeutic levels of medication, which can help control symptoms and prevent relapse. Non-adherence to medication regimens is a common issue in mental health treatment and can lead to worsening symptoms and increased risk of hospitalization. Therefore, understanding and adhering to prescribed medications is a key component of effective care.
Choice D Reason:
Utilizing relaxation techniques to limit anxiety is a highly effective strategy for managing GAD. Techniques such as deep breathing, progressive muscle relaxation, and mindfulness can help reduce physiological arousal and promote a sense of calm. These techniques are often taught in therapy and can be practiced regularly to help manage anxiety symptoms. Incorporating relaxation techniques into daily routines can significantly improve the client’s ability to cope with stress and anxiety.
Choice E Reason:
Discussing plans to handle panic attacks if they occur is an important aspect of managing GAD. Having a clear plan in place can help the client feel more in control and reduce the fear of experiencing a panic attack. This plan may include strategies such as deep breathing, grounding techniques, and seeking support from trusted individuals. By preparing for potential panic attacks, clients can reduce their overall anxiety and improve their ability to manage symptoms effectively.
Correct Answer is D
Explanation
Choice D Reason: 21g 1.5 in (3.8 cm) needle to the right ventrogluteal area. Use Z-track technique.
Choice A Reason:
Using a 23-gauge, 1-inch needle for an intramuscular (IM) injection in the deltoid muscle is generally appropriate for adults. The deltoid muscle is a common site for IM injections, especially for small volumes of medication (up to 2 mL). The acromion process is a correct landmark for locating the deltoid muscle. However, the deltoid muscle is not the best site for larger volumes or more viscous medications. Additionally, the needle length might not be sufficient for individuals with more subcutaneous fat, potentially leading to suboptimal medication delivery.
Choice B Reason:
A 25-gauge, 0.5-inch needle is typically used for subcutaneous injections rather than intramuscular injections. The rectus femoris muscle can be used for IM injections, but it is not the preferred site due to the potential for increased pain and discomfort. Aspiration before injection is a debated practice; current guidelines suggest that aspiration is not necessary for most IM injections, except when injecting into the dorsogluteal site, which is not recommended due to the risk of hitting the sciatic nerve.
Choice C Reason:
A 27-gauge, 1.5-inch needle is appropriate for IM injections, and the vastus lateralis is a suitable site, especially for infants and young children. However, massaging the injection site after administering an IM injection is not recommended. Massaging can cause the medication to disperse into the subcutaneous tissue, reducing its effectiveness and potentially causing irritation or bruising.
Choice D Reason:
Using a 21-gauge, 1.5-inch needle for an IM injection in the ventrogluteal area is considered safe and effective. The ventrogluteal site is preferred for IM injections because it is free from major nerves and blood vessels, reducing the risk of injury. The Z-track technique is used to prevent medication from leaking into the subcutaneous tissue, ensuring that it remains in the muscle for proper absorption. This technique is particularly useful for medications that can stain or irritate the skin and subcutaneous tissue.
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