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: Conversion involves expressing psychological distress through physical symptoms, which is not indicated in this scenario.

Choice B reason: Projection is a defense mechanism where an individual attributes their own unacceptable thoughts or feelings to someone else. In this case, the student is projecting their feelings of inadequacy or frustration onto the teacher and the course.

Choice C reason: Undoing is a defense mechanism where an individual attempts to take back an unconscious behavior or thought that is unacceptable or hurtful. This is not demonstrated by the student's behavior.

Choice D reason: Regression is a return to earlier stages of development and abandoned forms of gratification belonging to them, induced by stress. Berating the teacher does not indicate a regression but rather a projection of the student's feelings.

A. To be healthy in body and mind, it is better to be at optimal body weight or slightly below. B. Work on the development of coping strategies to handle emotional issues that arise. C. Develop realistic ideas about body shape and size and avoid comparing oneself to the "ideal." D. Find outcomes that are achievable to increase self-esteem.

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: This statement could be misleading and potentially harmful as it may encourage unhealthy weight goals. Optimal health is not necessarily correlated with being at or below a certain weight.

Choice B reason: Developing coping strategies to handle emotional issues is a key preventative measure against eating disorders, as it helps individuals manage stress without resorting to disordered eating behaviors.

Choice C reason: Encouraging realistic ideas about body shape and size and avoiding comparisons to an "ideal" can prevent the development of negative body image, which is often associated with eating disorders.

Choice D reason: Helping adolescents find achievable outcomes to increase self-esteem can reduce the risk of eating disorders, as low self-esteem is a known risk factor.

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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

A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?

Correct Answer is B

Explanation

The nurse is providing a high-school prevention program for adolescents and parents about eating disorders. Which important preventative measures will the nurse educate the group regarding? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? Select all that apply.

A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

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