A nurse is caring for a group of clients with somatic symptom illnesses. Select all the types of somatic symptom illnesses from the following options.
Conversion disorder.
Unspecified somatic symptom and related disorder.
Illness anxiety disorder.
Chronic medical condition disorder.
Somatic symptom disorder.
Correct Answer : A,C,E
Choice A rationale:
Conversion disorder. Conversion disorder involves the presence of neurological symptoms, such as paralysis, blindness, or seizures, that cannot be explained by a medical condition. These symptoms typically reflect an unconscious psychological conflict or need. The nurse should be familiar with this disorder as it falls within the category of somatic symptom illnesses.
Choice B rationale:
Unspecified somatic symptom and related disorder. Unspecified somatic symptom and related disorder is not a specific recognized disorder. This choice does not accurately describe a type of somatic symptom illness.
Choice C rationale:
Illness anxiety disorder. Illness anxiety disorder, formerly known as hypochondriasis, involves excessive worry and fear of having a serious illness despite minimal or no medical evidence. Individuals with this disorder often misinterpret bodily sensations as signs of a severe illness. The focus is on the fear of having an illness rather than intentional symptom production.
Choice D rationale:
Chronic medical condition disorder. Chronic medical condition disorder is not a recognized disorder within the somatic symptom illness category. This choice is not accurate in describing a type of somatic symptom illness.
Choice E rationale:
Somatic symptom disorder. Somatic symptom disorder involves distressing and disruptive physical symptoms that may or may not have an identifiable medical cause. The key characteristic is the disproportionate and excessive focus on the symptoms themselves, leading to impaired functioning. This disorder can include intentional symptom production but is not solely defined by it.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Discouraging the client from seeking professional help would be detrimental to their well-being. Somatic symptom illness often requires a multidisciplinary approach, involving both medical and psychological interventions. Encouraging professional help-seeking is essential for effective management.
Choice B rationale:
Promoting passive-aggressive behavior as a coping strategy is not appropriate. Passive-aggressive behavior can hinder effective communication and exacerbate the client's distress. Encouraging healthy coping mechanisms and addressing the underlying psychological factors is a more beneficial approach.
Choice C rationale:
Educating the client about the role of psychological factors is crucial because somatic symptom illness often has psychological components. Helping the client understand the mind-body connection can empower them to recognize how emotional stressors can manifest as physical symptoms. This knowledge can aid the client in managing their condition more effectively.
Choice D rationale:
Advising the client to continue avoiding physical activities is not recommended. Encouraging physical activity within the client's capabilities can have positive effects on their overall well-being. Avoidance of physical activities might lead to deconditioning and worsen the client's physical and emotional state.
Correct Answer is B
Explanation
Choice A rationale:
Hypnosis involves inducing a trance-like state to enhance focus and concentration, but it does not involve inserting needles into the body. It is often used for relaxation, pain management, and behavioral changes.
Choice B rationale:
Acupuncture is a non-pharmacological intervention that involves inserting thin needles into specific points on the body to stimulate energy flow, according to traditional Chinese medicine. This technique is believed to help rebalance the body's energy pathways and can be used to address various physical and psychological conditions.
Choice C rationale:
Biofeedback involves teaching individuals to control physiological processes such as heart rate, muscle tension, and blood pressure. It provides real-time information about these processes, allowing individuals to learn how to regulate them. However, it does not involve the insertion of needles into the body.
Choice D rationale:
Physical therapy focuses on improving physical function and mobility through exercises and techniques. It does not involve the use of needles or energy flow stimulation, making it less relevant to somatic symptom illness treatment compared to acupuncture.
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