A nurse is caring for a client who is diagnosed with Functional Neurologic Symptom Disorder (conversion disorder). What action should the nurse include in the plan of care?

Assess regularly for self-harm during treatment.

Allow for unlimited discussion on physical symptoms.

Discuss alternative coping strategies with the client.

Encourage alone time for the client in seclusion.

Answer and Explanation

The Correct Answer is C

Choice A Reason: Assess regularly for self-harm during treatment

Regular assessment for self-harm is crucial in any psychiatric care plan, especially for clients with conversion disorder who may experience significant distress. However, this action alone does not address the underlying issues or provide the client with tools to manage their symptoms. Continuous monitoring is important, but it should be part of a broader, more comprehensive care plan.

Choice B Reason: Allow for unlimited discussion on physical symptoms

While it is important to validate the client’s experiences and provide a space for them to discuss their symptoms, allowing unlimited discussion can sometimes reinforce the symptoms and lead to increased focus on physical complaints. This approach may not be beneficial in the long term and can detract from addressing the psychological aspects of the disorder.

Choice C Reason: Discuss alternative coping strategies with the client

This is the correct answer. Discussing alternative coping strategies helps the client develop skills to manage their symptoms more effectively. Techniques such as cognitive-behavioral therapy (CBT), relaxation exercises, and stress management can be very beneficial. These strategies empower the client to handle stress and reduce the impact of their symptoms. Providing education on coping mechanisms is a proactive approach that can lead to better outcomes.

Choice D Reason: Encourage alone time for the client in seclusion

Encouraging alone time in seclusion is generally not recommended for clients with conversion disorder. Seclusion can increase feelings of isolation and distress, potentially exacerbating symptoms. Instead, supportive and interactive interventions are preferred to help the client feel connected and understood.

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Free Nursing Study Resources

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

Explanation

Choice A Reason:

Use a calm voice.

Using a calm voice is essential in de-escalating an agitated client. A calm and steady tone can help soothe the client and reduce their anxiety. It also demonstrates that the nurse is in control of the situation and is there to help, which can be reassuring for the client.

Choice B Reason:

Speak louder than the client so as to be heard.

Speaking louder than the client is not appropriate as it can escalate the situation further. Raising one’s voice can be perceived as confrontational and may increase the client’s agitation. It is important to maintain a calm and composed demeanor to help de-escalate the situation.

Choice C Reason:

Reduce stimuli for the client.

Reducing stimuli is an effective intervention for an agitated client. Excessive noise, bright lights, and other environmental stimuli can exacerbate agitation. Creating a quieter and more controlled environment can help the client feel more at ease and reduce their agitation.

Choice D Reason:

Attempt to redirect the client.

Attempting to redirect the client can be helpful in de-escalating agitation. Redirecting the client’s attention to a different topic or activity can help distract them from the source of their agitation and provide a sense of control. This technique can be effective in calming the client and preventing further escalation.

Choice E Reason:

Reprimand the client for upsetting everyone.

Reprimanding the client is not an appropriate intervention. It can increase the client’s feelings of frustration and agitation. Instead, the focus should be on understanding the client’s needs and providing support to help them calm down.

A. The client diagnosed with a somatoform disorder should have any new medical complaint evaluated. B. The client diagnosed with a somatoform disorder can be easily cured with medication. C. The client diagnosed with a somatoform disorder has a real medical diagnosis for their symptoms. D. The client diagnosed with a somatoform disorder intentionally pretends to have physical symptoms.

Correct Answer is A

Explanation

Choice A Reason:

The client diagnosed with a somatoform disorder should have any new medical complaint evaluated.

This is the correct response. Clients with somatoform disorders often experience physical symptoms that cannot be fully explained by any underlying medical condition. However, it is crucial to evaluate any new medical complaints to rule out any actual medical conditions that may require treatment. This approach ensures that the client receives comprehensive care and that any potential medical issues are not overlooked.

Choice B Reason:

The client diagnosed with a somatoform disorder can be easily cured with medication.

This statement is incorrect. Somatoform disorders are complex and often require a multifaceted treatment approach, including psychotherapy, behavioral interventions, and sometimes medication to manage associated symptoms like anxiety or depression. There is no simple cure for somatoform disorders, and treatment typically focuses on managing symptoms and improving the client’s quality of life.

Choice C Reason:

The client diagnosed with a somatoform disorder has a real medical diagnosis for their symptoms.

While clients with somatoform disorders experience real and distressing symptoms, these symptoms are not typically linked to a diagnosable medical condition. The symptoms are believed to be related to psychological factors, and the focus of treatment is often on addressing these underlying psychological issues rather than finding a medical diagnosis.

Choice D Reason:

The client diagnosed with a somatoform disorder intentionally pretends to have physical symptoms.

This statement is incorrect. Clients with somatoform disorders do not intentionally fake their symptoms. Their symptoms are real to them and cause significant distress and impairment. The symptoms are not under the client’s conscious control, and they genuinely believe they are experiencing a medical condition.

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A nurse is caring for a client who is diagnosed with Functional Neurologic Symptom Disorder (conversion disorder). What action should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is attempting to de-escalate a client who is becoming increasingly agitated on the unit. Which of the following interventions would be appropriate for this type of client? (SELECT ALL THAT APPLY)

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

Explanation

A client is admitted to the inpatient psychiatric unit with a diagnosis of a somatoform disorder. Which statement does the nurse recognize as true about all somatoform disorders?

Correct Answer is A

Explanation

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