A nurse is discussing treatment approaches for somatic symptom illnesses. Which therapy is commonly used to address underlying emotional factors and manage symptoms?

Medication-based therapy.

Surgical intervention.

Cognitive-behavioral therapy.

Physical therapy.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is D

Explanation

Choice A rationale:

Hypnosis (Choice A) is a relaxation technique that involves inducing a trance-like state of heightened focus and suggestibility. It does not involve electronic devices for monitoring physiological functions.

Choice B rationale:

Acupuncture (Choice B) is a traditional Chinese medicine practice involving needle insertion at specific points on the body. It is not related to using electronic devices for physiological monitoring.

Choice C rationale:

Psychotherapy (Choice C) encompasses various talk therapies used to address mental health issues. It does not specifically involve electronic devices for physiological feedback.

Choice D rationale:

Biofeedback involves using electronic devices to monitor physiological functions like heart rate, muscle tension, and skin conductance. Individuals receive real-time feedback and learn to control these functions through relaxation techniques. It is an effective approach for managing conditions like anxiety, headaches, and high blood pressure.

A. Psychodynamic therapy. B. Family therapy. C. Cognitive-behavioral therapy. D. Interpersonal therapy.

Correct Answer is C

Explanation

Choice A rationale:

Psychodynamic therapy - Psychodynamic therapy focuses on exploring unconscious conflicts and childhood experiences to understand and address current psychological issues. While it can be beneficial for various mental health concerns, it may not be the primary approach for challenging and changing negative thoughts and beliefs that contribute to somatic symptom illnesses.

Choice B rationale:

Family therapy - Family therapy involves addressing family dynamics and interactions to improve overall family functioning. While family support is important, family therapy might not be the primary approach to directly address the negative thoughts and beliefs contributing to somatic symptoms.

Choice C rationale:

Cognitive-behavioral therapy (CBT) - This is the correct answer. CBT is well-known for its effectiveness in treating somatic symptom illnesses. It targets negative thought patterns and beliefs that contribute to physical symptoms. By challenging these thoughts and promoting healthier beliefs, clients can experience a reduction in somatic symptoms and improved overall functioning.

Choice D rationale:

Interpersonal therapy - Interpersonal therapy focuses on improving interpersonal relationships and communication. While these skills are valuable, this type of therapy might not be the primary choice for directly addressing the cognitive aspect of somatic symptom illnesses.

Disorder	Definition	Symptoms	Causes	Treatment
Somatic symptom disorder	A condition in which a person has physical symptoms that cause significant distress or impairment, but are not fully explained by a medical condition.	Pain, fatigue, weakness, shortness of breath, etc. The person may also have excessive worry, anxiety, or depression about the symptoms.	The exact cause is unknown, but it may be related to genetic, biological, psychological, and social factors. Stress and trauma may trigger or worsen the symptoms.	Psychotherapy, medication, and self-care strategies to cope with the symptoms and reduce stress.
Factitious disorder	A condition in which a person deliberately produces, feigns, or exaggerates symptoms of an illness or injury, without a clear motive or benefit.	The person may have various symptoms that mimic a medical condition, such as fever, bleeding, seizures, etc. The person may also tamper with tests, injure themselves, or take substances to induce symptoms.	The exact cause is unknown, but it may be related to psychological factors such as low self-esteem, childhood abuse or neglect, personality disorders, or emotional trauma. The person may seek attention, care, or sympathy from others.	Psychotherapy, medication, and family or group therapy to address the underlying issues and improve self-esteem and coping skills.
Conversion disorder	A condition in which a person has neurological symptoms that are not explained by a neurological disease or another medical condition.	The person may have weakness, paralysis, tremors, seizures, numbness, vision or hearing problems, speech difficulties, etc. The symptoms may vary in severity and duration.	The exact cause is unknown, but it may be related to how the brain functions rather than its structure. The condition may be triggered by a neurological disorder or by stress or psychological trauma.	Psychotherapy, medication, physical therapy, and hypnosis to relieve the symptoms and manage the stress or trauma.
Illness anxiety disorder	A condition in which a person has excessive fear or worry that they have or will develop a serious illness, despite having few or no symptoms.	The person may have mild or normal body sensations that they interpret as signs of a serious disease. The person may also seek frequent medical reassurance or avoid medical care for fear of being diagnosed. The person may also search the internet for information about diseases or symptoms.	The exact cause is unknown, but it may be related to genetic, biological, psychological, and environmental factors. Anxiety disorders, depression, childhood illness or abuse, or stressful life events may increase the risk.	Psychotherapy, medication, and self-help strategies to challenge the negative thoughts and reduce anxiety.

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A nurse is discussing treatment approaches for somatic symptom illnesses. Which therapy is commonly used to address underlying emotional factors and manage symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is educating a client about the concept of psychotherapy as a treatment option for somatic symptom illnesses. Which type of psychotherapy focuses on challenging and changing negative thoughts and beliefs that contribute to symptoms?

Correct Answer is C

Explanation

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?

(Select all that apply):. A nurse is explaining different classes of antidepressant medications to a client. Which of the following are examples of selective serotonin reuptake inhibitors (SSRIs)? Select all that apply.

A client experiences physical symptoms that are distressing and interfere with daily life. The client exhibits excessive responses to these symptoms and their health concerns. Which term describes this condition?

A nurse is providing care for several clients with somatic symptom illnesses. Which of the following clients is most likely to have illness anxiety disorder?

(Select All That Apply):. A nurse is working with a client with a somatic symptom illness to identify healthy coping strategies. Which strategies should the nurse encourage the client to use? Select all that apply.

A nurse is assessing clients with somatic symptom illnesses. Select all the statements that accurately describe illness anxiety disorder.

A nurse is caring for a client who exhibits chronic physical symptoms that cannot be fully explained by medical conditions. These symptoms cause distress and impairment in the client's daily life. What term is used to describe this condition?

A nurse is assessing a client with a somatic symptom illness. Which of the following manifestations may be associated with this disorder?