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?

Choice A rationale:

Medication-based therapy - While medications can be a part of the treatment plan for somatic symptom illnesses to manage specific symptoms like anxiety or depression, they primarily address physiological symptoms and may not directly target underlying emotional factors. They are often used in conjunction with psychotherapy.

Choice B rationale:

Surgical intervention - Surgical procedures are typically not the primary approach for managing somatic symptom illnesses. These illnesses are characterized by physical symptoms that are influenced by emotional factors, and surgical intervention does not address the underlying emotional aspects.

Choice C rationale:

Cognitive-behavioral therapy - This is a commonly used therapeutic approach for somatic symptom illnesses. It focuses on identifying and addressing the underlying emotional factors that contribute to the physical symptoms. Cognitive-behavioral therapy helps individuals recognize and change dysfunctional thought patterns and behaviors that exacerbate their symptoms. By promoting healthier coping mechanisms and emotional processing, it can effectively manage both the psychological and physiological aspects of somatic symptom illnesses.

Choice D rationale:

Physical therapy - Physical therapy primarily deals with musculoskeletal and movement-related issues. While it can be beneficial for individuals with certain physical symptoms, it doesn't primarily target the emotional factors that underlie somatic symptom illnesses.

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.