A client with a somatic symptom illness is receiving care. What is an essential aspect of the nurse-client relationship in this situation?
Avoiding any discussion of the client's physical symptoms.
Establishing trust and rapport with the client.
Dismissing the client's emotional experiences.
Using sarcasm to help the client confront their behavior.
The Correct Answer is B
Choice A rationale:
Avoiding any discussion of the client's physical symptoms would be counterproductive in building a therapeutic nurse-client relationship. Ignoring the client's concerns might lead to feelings of neglect and hinder the development of trust and rapport.
Choice B rationale:
Establishing trust and rapport is a fundamental aspect of nursing care, particularly when dealing with clients with somatic symptom illness. These clients often experience distressing physical symptoms that have psychological roots. By creating a safe and supportive environment, the nurse can encourage the client to share their experiences, emotions, and concerns openly. This helps the nurse understand the client's condition better and collaborate on an effective care plan.
Choice C rationale:
Dismissing the client's emotional experiences would be detrimental to their well-being. Clients with somatic symptom illness often have genuine distress related to their physical symptoms. Addressing their emotional experiences validates their feelings and aids in uncovering the underlying psychological factors contributing to their symptoms.
Choice D rationale:
Using sarcasm to help the client confront their behavior is inappropriate and unprofessional. Sarcasm can damage the therapeutic relationship, making the client feel ridiculed and unheard. Respectful and empathetic communication is crucial in nursing care, especially when dealing with individuals who are experiencing distress.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"I'm struggling with altered motor function.". Choice A is not associated with the behavior described in the question. Altered motor function typically refers to difficulties with movement and coordination, which may be genuine physical issues but are not indicative of intentionally falsifying symptoms for attention.
Choice B rationale:
"I don't know why I'm feeling this way.". Choice B does not accurately reflect the behavior of repeatedly falsifying psychological symptoms for attention. This statement suggests a lack of understanding regarding one's feelings, rather than intentionally seeking attention through fabricated symptoms.
Choice C rationale:
"I just want attention from others.". Choice C is the correct answer. This statement is commonly associated with the behavior described in the question. Individuals who falsify or exaggerate psychological symptoms often do so to gain attention from others. This behavior is characteristic of factitious disorders, where the primary motivation is to be seen as ill and receive care and concern.
Choice D rationale:
"I'm worried about having a serious illness.". Choice D does not align with the behavior of intentionally falsifying psychological symptoms for attention. Expressing concern about a serious illness might indicate genuine health-related anxiety but does not reflect the behavior described in the question.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale:
Conversion disorder. Conversion disorder involves the presence of neurological symptoms, such as paralysis, blindness, or seizures, that cannot be explained by a medical condition. These symptoms typically reflect an unconscious psychological conflict or need. The nurse should be familiar with this disorder as it falls within the category of somatic symptom illnesses.
Choice B rationale:
Unspecified somatic symptom and related disorder. Unspecified somatic symptom and related disorder is not a specific recognized disorder. This choice does not accurately describe a type of somatic symptom illness.
Choice C rationale:
Illness anxiety disorder. Illness anxiety disorder, formerly known as hypochondriasis, involves excessive worry and fear of having a serious illness despite minimal or no medical evidence. Individuals with this disorder often misinterpret bodily sensations as signs of a severe illness. The focus is on the fear of having an illness rather than intentional symptom production.
Choice D rationale:
Chronic medical condition disorder. Chronic medical condition disorder is not a recognized disorder within the somatic symptom illness category. This choice is not accurate in describing a type of somatic symptom illness.
Choice E rationale:
Somatic symptom disorder. Somatic symptom disorder involves distressing and disruptive physical symptoms that may or may not have an identifiable medical cause. The key characteristic is the disproportionate and excessive focus on the symptoms themselves, leading to impaired functioning. This disorder can include intentional symptom production but is not solely defined by it.
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