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 A

Explanation

Choice A reason: Given Brian's recent substance use and expression of not being able to tolerate depressive feelings, a suicide risk assessment is the highest priority to ensure his immediate safety.

Choice B reason: While a neurological assessment may be relevant, it is not the highest priority when there is a potential risk of suicide.

Choice C reason: Assessing the amount of current cannabis use is important but secondary to evaluating the risk of suicide.

Choice D reason: Marital status may inform social support but is not the highest priority in the context of potential self-harm.

A. Electrolyte imbalance due to excessive laxative use. B. A sudden cardiac event unrelated to Bulimia Nervosa. C. An accidental fall causing unconsciousness. D. A reaction to another medication.

Correct Answer is A

Explanation

Choice A reason: Bulimia Nervosa often involves behaviors such as excessive laxative use, which can lead to severe electrolyte imbalances, potentially causing unconsciousness.

Choice B reason: While a sudden cardiac event is possible, it is less likely to be directly related to the history of Bulimia Nervosa and laxative use.

Choice C reason: There is no indication that an accidental fall occurred, and it would not be directly related to the history of laxative use.

Choice D reason: Without further information, it is speculative to attribute the unconsciousness to a reaction to another medication.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa and finds the client unconscious on the floor with a history of using laxatives, what is the most likely cause of the client's current state?

Correct Answer is A

Explanation

A nurse is performing a psychosocial assessment on an adolescent client. Which of the following should indicate to the nurse a potential risk for suicide? Select all that apply.

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