A nurse is discussing potential complications of somatic symptom illnesses with a client. Which of the following factors can influence the client's outcomes in managing their condition?
The client's age and gender.
The client's dietary preferences.
The client's financial status.
The client's preference for alternative medicine.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Altered motor functions and sensory symptoms are more indicative of conversion disorder rather than illness anxiety disorder. Conversion disorder involves neurological symptoms that cannot be medically explained, which contrasts with the preoccupation with serious illness seen in illness anxiety disorder.
Choice B rationale:
Intentionally producing physical symptoms for attention aligns with factitious disorder, where individuals feign or induce symptoms to assume the sick role. This behavior does not align with the diagnostic criteria for illness anxiety disorder.
Choice C rationale:
This choice correctly identifies the key characteristic of illness anxiety disorder, which involves excessive worry about having a serious illness despite minimal or no symptoms. This preoccupation causes distress and often leads the individual to seek medical reassurance repeatedly.
Choice D rationale:
Experiencing chronic physical symptoms with excessive responses might be seen in somatic symptom disorder, where the distress and impairment caused by the symptoms are disproportionate. However, this choice does not specifically address the preoccupation with serious illness that defines illness anxiety disorder.
Correct Answer is C
Explanation
Choice A rationale:
"I'm struggling with altered motor function.". Choice A is not associated with the behavior described in the question. Altered motor function typically refers to difficulties with movement and coordination, which may be genuine physical issues but are not indicative of intentionally falsifying symptoms for attention.
Choice B rationale:
"I don't know why I'm feeling this way.". Choice B does not accurately reflect the behavior of repeatedly falsifying psychological symptoms for attention. This statement suggests a lack of understanding regarding one's feelings, rather than intentionally seeking attention through fabricated symptoms.
Choice C rationale:
"I just want attention from others.". Choice C is the correct answer. This statement is commonly associated with the behavior described in the question. Individuals who falsify or exaggerate psychological symptoms often do so to gain attention from others. This behavior is characteristic of factitious disorders, where the primary motivation is to be seen as ill and receive care and concern.
Choice D rationale:
"I'm worried about having a serious illness.". Choice D does not align with the behavior of intentionally falsifying psychological symptoms for attention. Expressing concern about a serious illness might indicate genuine health-related anxiety but does not reflect the behavior described in the question.
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