A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?

Somatic symptom disorder is usually diagnosed in early childhood.

Somatic symptom disorder is usually underdiagnosed in the older population.

Somatic symptom disorder must be diagnosed before 18 years of age.

Somatic symptom disorder is usually onset in older adulthood.

Answer and Explanation

The Correct Answer is B

B. Somatic symptom disorder (SSD) involves persistent, distressing physical symptoms along with excessive thoughts, feelings, or behaviors related to those symptoms. While SSD can occur at any age, it is often underdiagnosed in the older population. Older adults may present with various somatic complaints, which can sometimes be mistaken for age-related physical health issues rather than manifestations of a psychological disorder.

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Correct Answer is A

Explanation

A. This statement accurately describes a key aspect of somatic symptom disorder. Individuals with this disorder experience real physical symptoms, but these symptoms are primarily driven by psychological or emotional factors rather than underlying physical causes.

B. Suicidal ideation is not a defining characteristic of the disorder. Somatic symptom disorder primarily involves persistent and distressing physical symptoms along with excessive thoughts, feelings, or behaviors related to those symptoms.

C. Somatic symptom disorder is not characterized by malingering or intentionally fabricating symptoms. Individuals with this disorder genuinely experience physical symptoms that cause distress and impairment

D. There are effective treatment approaches available, including cognitive-behavioral therapy (CBT), psychotropic medications for co-occurring conditions such as depression or anxiety, and supportive therapies that address underlying psychological factors

A. Manipulation B. Marginalization C. Codependency D. Enabling

Correct Answer is C

Explanation

C. Codependency refers to a dysfunctional pattern of behavior in which a person excessively relies on another individual (often a partner or family member) for their sense of identity, self- worth, or emotional well-being. In this scenario, the partner's demand to see the client's records

and treatment plan, as well as the assertion of needing to oversee the treatment, suggests an excessive need for control and involvement in the client's life and healthcare decisions.

A. Manipulation involves influencing or controlling someone in a deceptive or dishonest way to achieve one's own goals.

B. Marginalization refers to the exclusion or relegation of a person or group to a lower or outer edge of society or a group.

D. Enabling refers to behaviors that unintentionally or intentionally allow someone to continue engaging in harmful behaviors or avoid facing consequences.

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A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education about somatic symptom disorder to a client's family. Which of the following pieces of information should the nurse include in the education?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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