A nurse is educating a client about the different treatment options for somatic symptom illnesses. Which of the following medications is classified as an analgesic and can help relieve pain associated with somatic symptom illnesses?
Amitriptyline.
Sertraline.
Lorazepam.
Gabapentin.
The Correct Answer is D
Choice A rationale:
Amitriptyline is a tricyclic antidepressant used to treat depression and certain types of pain. While it may help manage pain associated with somatic symptom illness, it is not classified primarily as an analgesic.
Choice B rationale:
Sertraline is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression and anxiety disorders. It is not classified as an analgesic and is not primarily intended for pain relief.
Choice C rationale:
Lorazepam is a benzodiazepine used to treat anxiety disorders and is not classified as an analgesic. Its main effects are on anxiety reduction and sedation.
Choice D rationale:
Gabapentin is an anticonvulsant medication that is often used to manage neuropathic pain, including pain associated with somatic symptom illnesses. It can help alleviate pain by affecting nerve signals in the brain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Encouraging the client to focus solely on physical symptoms neglects the emotional aspect of somatic symptom illness. A comprehensive approach involves addressing both the physical symptoms and the underlying emotions.
Choice B rationale:
Advising the client to ignore their emotional experiences dismisses an essential component of their condition. Ignoring emotions can lead to emotional distress and exacerbate the somatic symptoms.
Choice C rationale:
Suggesting that the client suppress their emotions would not be beneficial. Emotional suppression can contribute to increased psychological distress and hinder the client's progress toward better emotional well-being.
Choice D rationale:
Assisting the client to identify and use healthy coping strategies is a sound intervention. Coping strategies can help the client manage both physical symptoms and emotional distress in adaptive ways, improving their overall quality of life.
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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