A client with a somatic symptom illness states, "I always feel weak and fatigued, no matter what I do. I can't even walk properly." Which nursing intervention is appropriate for this client?
Encouraging the client to ignore their physical symptoms.
Explaining that the symptoms are purely psychological.
Assisting the client to express their emotions and thoughts.
Providing excessive attention and sympathy to the client.
The Correct Answer is C
Choice A rationale:
Encouraging the client to ignore their physical symptoms would not be an appropriate intervention. Somatic symptom illness involves genuine distress and discomfort, and disregarding the symptoms might lead to increased frustration and anxiety.
Choice B rationale:
Explaining that the symptoms are purely psychological oversimplifies the situation. While psychological factors do play a role in somatic symptom illness, the symptoms are not purely imaginary. Validating the client's experiences while addressing underlying emotional factors is a more comprehensive approach.
Choice C rationale:
Assisting the client to express their emotions and thoughts is a suitable intervention. Somatic symptom illness often arises from unaddressed emotional distress. By encouraging the client to discuss their feelings, the nurse provides a safe space for emotional expression and can help identify contributing factors.
Choice D rationale:
Providing excessive attention and sympathy to the client might inadvertently reinforce their focus on physical symptoms rather than addressing the underlying emotional issues. This approach could potentially contribute to the maintenance of somatic symptom illness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Complete elimination of all physical symptoms - This choice might not be a realistic and achievable goal for clients with somatic symptom illnesses. These conditions often involve complex factors and underlying psychological issues that might not allow for the complete elimination of physical symptoms. Furthermore, the mind-body connection in these cases can make it challenging to solely focus on the physical aspect.
Choice B rationale:
Reduction in the frequency and intensity of physical symptoms - This is a realistic and measurable goal for clients with somatic symptom illnesses. Many of these illnesses involve somatization, where emotional distress is manifested as physical symptoms. By working towards reducing the frequency and intensity of these symptoms, clients can experience improved quality of life and functioning.
Choice C rationale:
Improvement in mood and self-esteem - This is a valid goal for clients with somatic symptom illnesses. These conditions often coexist with mood disorders and low self-esteem. Addressing these psychological aspects can lead to better overall well-being and a reduction in the somatic symptoms. Additionally, improved mood and self-esteem can contribute to a client's ability to cope effectively with their symptoms.
Choice D rationale:
Ability to manage stress and cope with symptoms effectively - This is an essential goal for clients with somatic symptom illnesses. Stress can exacerbate physical symptoms and create a cycle of distress. Teaching clients effective stress management and coping strategies can empower them to handle their symptoms in a healthier way, which can ultimately lead to an improvement in their overall condition.
Choice E rationale:
Developing a dislike for medical appointments - This is not a realistic or relevant goal for the treatment of somatic symptom illnesses. Medical appointments are necessary for proper assessment, diagnosis, and treatment of these conditions. Encouraging a dislike for medical appointments could hinder the client's progress and adherence to treatment.
Correct Answer is C
Explanation
Choice A rationale:
Providing excessive attention to the client's physical complaints is not conducive to the client's progress. While it's important to address the client's concerns, excessive focus on physical complaints can reinforce illness behavior and hinder the development of healthier coping mechanisms.
Choice B rationale:
Withholding praise for the client's achievements is not supportive of the client's progress. Positive reinforcement is essential for motivating and reinforcing adaptive behaviors. By acknowledging the client's achievements, the nurse can boost their self-esteem and encourage continued improvement.
Choice C rationale:
Acknowledging and praising the client for their improvement is a beneficial approach. Positive reinforcement enhances the client's sense of accomplishment and encourages them to continue engaging in positive behaviors. This approach fosters a therapeutic relationship and supports the client's journey towards better health.
Choice D rationale:
Encouraging the client to focus solely on their illness behavior is counterproductive. Overemphasis on illness behavior can perpetuate the symptoms and prevent the client from developing a broader sense of identity and well-being.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.