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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Correct Answer is C
Explanation
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.
Correct Answer is A
Explanation
Choice A rationale:
The client's age and gender play a significant role in influencing the outcomes of managing somatic symptom illnesses. Different age groups may have varying levels of resilience, coping mechanisms, and communication skills to address their condition effectively. Gender can also affect the perception of symptoms and the way they are expressed, as well as cultural and societal factors that influence how individuals manage their health.
Choice B rationale:
The client's dietary preferences, while important for overall health, are not directly related to the management of somatic symptom illnesses. These illnesses are characterized by excessive focus on physical symptoms that may not have an organic cause. Dietary preferences are more relevant to nutritional status and general well-being.
Choice C rationale:
The client's financial status can impact their access to healthcare resources and treatment options, but it is not a factor that directly influences the outcomes of managing somatic symptom illnesses. These illnesses are primarily psychological in nature and involve the interpretation and management of physical sensations.
Choice D rationale:
The client's preference for alternative medicine may influence their treatment approach, but it is not a key factor that universally affects outcomes in managing somatic symptom illnesses. These illnesses are typically addressed through a combination of psychological interventions and, in some cases, medical management.
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