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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
The client experiences altered voluntary motor functions. This choice is not accurate in describing illness anxiety disorder. Altered voluntary motor functions are more characteristic of conversion disorder, not illness anxiety disorder.
Choice B rationale:
The client has excessive or maladaptive responses to symptoms. This choice accurately describes illness anxiety disorder. Individuals with this disorder exhibit excessive worry and preoccupation with the possibility of having a serious illness, often responding to mild or non-specific symptoms with disproportionate anxiety and distress.
Choice C rationale:
The client is preoccupied with having a serious illness. This choice is correct in describing illness anxiety disorder. Preoccupation with having a serious illness, despite little or no medical evidence, is a hallmark of this disorder. This preoccupation can lead to significant distress and impairment in daily functioning.
Choice D rationale:
The client intentionally produces physical symptoms. This choice is not accurate for illness anxiety disorder. Intentional symptom production is more characteristic of factitious disorder, where individuals purposefully produce or feign symptoms for various reasons.
Choice E rationale:
The client's symptoms are not intentionally produced and cause distress. This choice accurately characterizes illness anxiety disorder. The symptoms experienced by individuals with this disorder are not intentionally produced but are associated with distress due to the individual's persistent fear and belief in having a serious illness.
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