A client is seeking relief for undiagnosed pain. There is no history of significant physical illness or injury. The history reveals that the client was laid off 4 months ago from a job. Which statement made by the client would most strongly suggest a somatoform disorder?

"I'm sure they will figure out what is wrong with me."

"I probably just overexerted myself working around the house. It's hard to slow down."

"I have been having a hard time lately. It's hard not working like I'm used to."

"I seem to have more pain now that I got laid off and staying home."

Answer and Explanation

The Correct Answer is D

Choice A reason: This statement does not necessarily suggest a somatoform disorder, as it expresses hope for a medical diagnosis.

Choice B reason: Mentioning overexertion could be a logical explanation for pain and does not directly indicate a somatoform disorder.

Choice C reason: Expressing difficulty with life changes does not specifically suggest a somatoform disorder, which is characterized by physical symptoms without a medical cause.

Choice D reason: This statement suggests that the pain may be linked to psychological factors, such as stress from losing a job, which is characteristic of a somatoform disorder.

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Correct Answer is B

Explanation

Choice A reason: This statement does not typically correlate with histrionic personality disorder, which is characterized by attention-seeking behavior rather than a focus on rules.

Choice B reason: This statement reflects the attention-seeking and emotional behavior often associated with histrionic personality disorder.

Choice C reason: While this statement could indicate a need for validation, it is not as directly related to the dramatic or attention-seeking behaviors typical of histrionic personality disorder.

Choice D reason: Indecisiveness can be a trait of histrionic personality disorder, but the statement does not directly reflect the characteristic patterns of behavior such as the need for attention.

A. "Your doctor is a man, so it should not be a problem." B. "I can review the assignments and arrange for a female nurse to care for you." C. "The nurse assigned to you is very capable and cares for other women in this situation." D. "I can arrange for a female assistive personnel to do your personal hygiene care."

Correct Answer is B

Explanation

Choice A reason: This response is dismissive of the client's concerns and does not address her discomfort with a male nurse.

Choice B reason: This response is respectful of the client's wishes and offers a solution that could make her more comfortable.

Choice C reason: This response does not acknowledge the client's specific discomfort with a male nurse and does not offer an alternative.

Choice D reason: While this offers an alternative, it may not fully address the client's discomfort with having a male nurse responsible for her overall care.

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A client is seeking relief for undiagnosed pain. There is no history of significant physical illness or injury. The history reveals that the client was laid off 4 months ago from a job. Which statement made by the client would most strongly suggest a somatoform disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is talking with a client diagnosed with histrionic personality disorder. Which statement made by the client does the nurse identify as correlating with this diagnosis?

Correct Answer is B

Explanation

A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client expresses discomfort with a male nurse as her caregiver. Which response should the nurse manager provide?

Correct Answer is B

Explanation

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