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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale:
Genetic predisposition and neurobiological abnormalities - Somatic symptom illnesses often have a genetic component, with certain individuals being more susceptible due to genetic factors that influence the way their brain and nervous system respond to stress and emotions. Neurobiological abnormalities can lead to altered perception and processing of bodily sensations, contributing to the development and persistence of these illnesses.
Choice B rationale:
Substance use or withdrawal and medication side effects - While substance use, withdrawal, and medication side effects can impact an individual's overall well-being and potentially exacerbate physical symptoms, they are not core factors that contribute to the development and maintenance of somatic symptom illnesses.
Choice C rationale:
Childhood abuse or neglect and family history of mental disorders - These factors can contribute to the development of various mental health conditions, but they are not specific to somatic symptom illnesses. Somatic symptom illnesses involve the interaction between emotional factors and physical symptoms that are not fully explained by medical conditions.
Choice D rationale:
Social isolation and cultural expectations regarding health - While social isolation and cultural expectations can influence an individual's perception of health and illness, they are more likely to play a secondary role in the context of somatic symptom illnesses. These illnesses are primarily rooted in the interaction between psychological and physiological factors.
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