A client with somatic symptom disorder reports experiencing chest pain to the nurse. Which action should the nurse take?

Administer a PRN analgesic to the client.

Further assess the client's pain and vital signs.

Ask if the client to compare this pain to the pain in the past.

Remind the client that the symptoms are psychological in cause.

Answer and Explanation

The Correct Answer is B

A) Administering a PRN analgesic may provide temporary relief but does not address the need for a comprehensive assessment of the client's condition. It is essential to understand the nature and cause of the chest pain before treating it.

B) Further assessing the client's pain and vital signs is the most appropriate action. This allows the nurse to gather important clinical information that can help determine whether the chest pain is related to a medical condition or is part of the somatic symptom disorder. A thorough assessment is critical in ensuring the client's safety and addressing any potential underlying health issues.

C) Asking the client to compare this pain to past pain can provide context but is not a priority action. The immediate focus should be on assessing the current situation rather than reflecting on past experiences.

D) Reminding the client that the symptoms are psychological in cause can be invalidating and may hinder the therapeutic relationship. It is crucial to approach the client with empathy and understanding, rather than dismissing their experience.

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Correct Answer is D

Explanation

A) Request backup from the staff:Requesting backup may be necessary if the situation escalates and the client poses a threat to themselves or others. However, it should not be the first action. The nurse should initially attempt to de-escalate the situation by addressing the client’s immediate needs and providing personal space.

B) Encourage the client to sit down:Encouraging the client to sit down might help reduce their agitation, but it could also be perceived as controlling or dismissive. The nurse should first focus on creating a safe environment by providing personal space and then assess the client’s willingness to sit down.

C) Stand in the doorway:Standing in the doorway can provide the nurse with a quick exit if needed, but it may also make the client feel trapped or cornered. It is important to maintain a non-threatening posture and ensure the client has enough space to feel comfortable.

D) Provide for personal space:Providing personal space is crucial in managing aggressive behaviors. It helps to reduce the client’s sense of threat and allows them to feel more in control. This approach can help de-escalate the situation and create a safer environment for both the client and the nurse.

A. Grandiosity. B. Compulsive behavior. C. Sadness. D. Poor concentration. E. Disrupted sleep.

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

Explanation

A) Grandiosity is not typically associated with postpartum depression. Instead, it is more commonly seen in conditions such as mania or bipolar disorder. This finding would not be consistent with postpartum depression.

B) Compulsive behavior may occur in various mental health conditions, but it is not a core symptom of postpartum depression. This symptom would need further evaluation to determine its relevance in this context.

C) Sadness is a hallmark symptom of postpartum depression. Clients often report feelings of intense sadness and hopelessness, making this a key finding in the assessment.

D) Poor concentration is commonly observed in postpartum depression. Many clients experience difficulties with focus and decision-making, which can be distressing and interfere with daily functioning.

E) Disrupted sleep is another significant symptom associated with postpartum depression. Clients may experience insomnia or altered sleep patterns, which can exacerbate feelings of fatigue and sadness.

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A client with somatic symptom disorder reports experiencing chest pain to the nurse. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When responding to a call light, the nurse finds a client with aggressive behaviors pacing and restless in the room. The client shouts, "What took you so long to get in here!" Which action should the nurse implement?

Correct Answer is D

Explanation

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

Explanation

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