A client is interested in trying non-pharmacological treatments for their somatic symptom illness. The nurse explains that one of these interventions involves using electronic devices to monitor and provide feedback on physiological functions like heart rate and muscle tension. What is this technique called?

Hypnosis.

Acupuncture.

Psychotherapy.

Biofeedback.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Hypnosis (Choice A) is a relaxation technique that involves inducing a trance-like state of heightened focus and suggestibility. It does not involve electronic devices for monitoring physiological functions.

Choice B rationale:

Acupuncture (Choice B) is a traditional Chinese medicine practice involving needle insertion at specific points on the body. It is not related to using electronic devices for physiological monitoring.

Choice C rationale:

Psychotherapy (Choice C) encompasses various talk therapies used to address mental health issues. It does not specifically involve electronic devices for physiological feedback.

Choice D rationale:

Biofeedback involves using electronic devices to monitor physiological functions like heart rate, muscle tension, and skin conductance. Individuals receive real-time feedback and learn to control these functions through relaxation techniques. It is an effective approach for managing conditions like anxiety, headaches, and high blood pressure.

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Correct Answer is C

Explanation

Choice A rationale:

Psychodynamic therapy - Psychodynamic therapy focuses on exploring unconscious conflicts and childhood experiences to understand and address current psychological issues. While it can be beneficial for various mental health concerns, it may not be the primary approach for challenging and changing negative thoughts and beliefs that contribute to somatic symptom illnesses.

Choice B rationale:

Family therapy - Family therapy involves addressing family dynamics and interactions to improve overall family functioning. While family support is important, family therapy might not be the primary approach to directly address the negative thoughts and beliefs contributing to somatic symptoms.

Choice C rationale:

Cognitive-behavioral therapy (CBT) - This is the correct answer. CBT is well-known for its effectiveness in treating somatic symptom illnesses. It targets negative thought patterns and beliefs that contribute to physical symptoms. By challenging these thoughts and promoting healthier beliefs, clients can experience a reduction in somatic symptoms and improved overall functioning.

Choice D rationale:

Interpersonal therapy - Interpersonal therapy focuses on improving interpersonal relationships and communication. While these skills are valuable, this type of therapy might not be the primary choice for directly addressing the cognitive aspect of somatic symptom illnesses.

Disorder	Definition	Symptoms	Causes	Treatment
Somatic symptom disorder	A condition in which a person has physical symptoms that cause significant distress or impairment, but are not fully explained by a medical condition.	Pain, fatigue, weakness, shortness of breath, etc. The person may also have excessive worry, anxiety, or depression about the symptoms.	The exact cause is unknown, but it may be related to genetic, biological, psychological, and social factors. Stress and trauma may trigger or worsen the symptoms.	Psychotherapy, medication, and self-care strategies to cope with the symptoms and reduce stress.
Factitious disorder	A condition in which a person deliberately produces, feigns, or exaggerates symptoms of an illness or injury, without a clear motive or benefit.	The person may have various symptoms that mimic a medical condition, such as fever, bleeding, seizures, etc. The person may also tamper with tests, injure themselves, or take substances to induce symptoms.	The exact cause is unknown, but it may be related to psychological factors such as low self-esteem, childhood abuse or neglect, personality disorders, or emotional trauma. The person may seek attention, care, or sympathy from others.	Psychotherapy, medication, and family or group therapy to address the underlying issues and improve self-esteem and coping skills.
Conversion disorder	A condition in which a person has neurological symptoms that are not explained by a neurological disease or another medical condition.	The person may have weakness, paralysis, tremors, seizures, numbness, vision or hearing problems, speech difficulties, etc. The symptoms may vary in severity and duration.	The exact cause is unknown, but it may be related to how the brain functions rather than its structure. The condition may be triggered by a neurological disorder or by stress or psychological trauma.	Psychotherapy, medication, physical therapy, and hypnosis to relieve the symptoms and manage the stress or trauma.
Illness anxiety disorder	A condition in which a person has excessive fear or worry that they have or will develop a serious illness, despite having few or no symptoms.	The person may have mild or normal body sensations that they interpret as signs of a serious disease. The person may also seek frequent medical reassurance or avoid medical care for fear of being diagnosed. The person may also search the internet for information about diseases or symptoms.	The exact cause is unknown, but it may be related to genetic, biological, psychological, and environmental factors. Anxiety disorders, depression, childhood illness or abuse, or stressful life events may increase the risk.	Psychotherapy, medication, and self-help strategies to challenge the negative thoughts and reduce anxiety.

A. Hypnosis. B. Acupuncture. C. Biofeedback. D. Physical therapy.

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.

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Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the concept of psychotherapy as a treatment option for somatic symptom illnesses. Which type of psychotherapy focuses on challenging and changing negative thoughts and beliefs that contribute to symptoms?

Correct Answer is C

Explanation

A client with somatic symptom illness is interested in exploring treatment options beyond medication. Which non-pharmacological intervention involves inserting thin needles into specific points on the body to stimulate energy flow?

Correct Answer is B

Explanation

A nurse is caring for a client who exhibits chronic physical symptoms that cannot be fully explained by medical conditions. These symptoms cause distress and impairment in the client's daily life. What term is used to describe this condition?

A nurse is educating a client about the different treatment options for somatic symptom illnesses. Which of the following medications is classified as an analgesic and can help relieve pain associated with somatic symptom illnesses?

A nurse is conducting an assessment of a client with suspected somatic symptom illness. Which aspect should the nurse consider as part of the assessment process?

A client with a somatic symptom illness states, "I always feel weak and fatigued, no matter what I do. I can't even walk properly." Which nursing intervention is appropriate for this client?

A nurse is caring for a group of clients with somatic symptom illnesses. Select all the types of somatic symptom illnesses from the following options.

(Select All That Apply):. A nurse is working with a client with a somatic symptom illness to identify healthy coping strategies. Which strategies should the nurse encourage the client to use? Select all that apply.

A nurse is providing education to a client's family about somatic symptom illnesses. Which of the following statements accurately conveys the nature of somatic symptom illnesses?

A nurse is assessing a client who repeatedly falsifies psychological symptoms to assume the role of a sick person. What statement is commonly associated with this behavior?