A nurse is assessing a client with a somatic symptom illness. Which of the following manifestations may be associated with this disorder?
Symptoms that are fully explained by a medical condition.
Symptoms that remain constant in intensity and location.
Symptoms that are proportional to the underlying cause.
Symptoms that may migrate from one body system to another.
Symptoms that do not affect psychological well-being.
The Correct Answer is D
Choice A rationale:
Symptoms that are fully explained by a medical condition - Somatic symptom illnesses are characterized by physical symptoms that are not fully explained by medical conditions. If symptoms are entirely accounted for by a medical diagnosis, the individual may not meet the criteria for a somatic symptom illness.
Choice B rationale:
Symptoms that remain constant in intensity and location - Somatic symptom illnesses often involve symptoms that are variable in intensity and may migrate to different body systems over time. This variability is influenced by emotional factors and distinguishes these illnesses from conditions with consistent, anatomically based symptoms.
Choice C rationale:
Symptoms that are proportional to the underlying cause - Somatic symptom illnesses can lead to symptoms that are disproportionate to the underlying medical cause. This disproportionate relationship between symptoms and physiological findings is a key characteristic of these illnesses.
Choice D rationale:
Symptoms that may migrate from one body system to another - This is a characteristic feature of somatic symptom illnesses. The migration of symptoms across different body systems is often seen and is related to the complex interplay between emotional and physiological factors.
Choice E rationale:
Symptoms that do not affect psychological well-being - Somatic symptom illnesses inherently involve a significant impact on psychological well-being. The distress and impairment caused by the physical symptoms are a core aspect of these illnesses, differentiating them from purely physical conditions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Illness anxiety disorder involves excessive worry about having a serious illness, often despite minimal or no symptoms. While this choice relates to anxiety about being sick, it does not encompass the chronic physical symptoms without clear medical explanation that the client in the scenario is experiencing.
Choice B rationale:
Conversion disorder involves neurological symptoms such as altered motor functions or sensory deficits that cannot be explained by medical conditions. However, this choice doesn't account for the chronic nature of the symptoms described in the scenario.
Choice C rationale:
Somatic symptom disorder is characterized by chronic physical symptoms that cause distress and impairment, but the symptoms cannot be fully explained by medical conditions alone. This is the most appropriate choice for the client in the scenario, as it aligns with the chronic and distressing nature of the symptoms.
Choice D rationale:
Factitious disorder involves intentionally falsifying or inducing physical or psychological symptoms for the purpose of assuming the sick role. This choice does not reflect the chronic nature of the symptoms in the scenario, nor does it address the distress experienced by the client.
Correct Answer is A
Explanation
Choice A rationale:
This statement reflects the uncertainty and confusion commonly experienced by individuals with conversion disorder. The symptoms in conversion disorder, such as altered voluntary motor function, are often inconsistent and not under the individual's conscious control.
Choice B rationale:
Knowing that one is pretending to have symptoms aligns with factitious disorder, where individuals intentionally feign or induce symptoms. This choice does not fit the description of the client in the scenario.
Choice C rationale:
This statement is more consistent with illness anxiety disorder, where the individual is excessively worried about having a serious illness despite minimal symptoms. It doesn't reflect the symptoms of altered voluntary motor function mentioned in the scenario.
Choice D rationale:
Intentionally inducing symptoms for attention is a characteristic of factitious disorder, not conversion disorder. This choice does not align with the involuntary nature of the symptoms described in the scenario.
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