A suitable outcome criterion for the nursing diagnosis Ineffective coping related to dependence on pain relievers to treat chronic pain of psychological origin is:
Patient will participate in self-care with optimal participation.
Patient will learn and practice effective coping skills.
Patient will demonstrate improved self-esteem as evidenced by focusing less on weaknesses.
Patient will replace demanding, manipulative behaviors with more socially acceptable behavior.
The Correct Answer is B
Ineffective coping related to psychological pain and medication dependence reflects poor emotional regulation and reliance on external relief rather than internal strategies. Nursing goals should focus on developing adaptive coping, reducing reliance on pharmacologic interventions, and improving emotional resilience. Behavioral and cognitive strategies are central to long-term improvement.
Rationale for correct answers
2. Learning and practicing coping skills directly addresses the core issue of ineffective coping and supports functional recovery without medication dependence.
Rationale for incorrect answers
1. Participation in self-care is important but does not specifically target coping or medication reliance.
3. Improved self-esteem is beneficial but does not directly address coping mechanisms or pain management.
4. Replacing manipulative behaviors may reflect progress but lacks specificity in addressing coping and psychological pain.
Take Home Points
- Effective coping skills are the cornerstone of managing psychological pain without medication dependence.
- Outcome criteria must directly address the nursing diagnosis to guide measurable progress.
- Self-esteem and behavior change are secondary outcomes, not primary goals in this context.
- Nursing care should promote emotional regulation and reduce reliance on pharmacologic relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Somatization disorderinvolves multiple physical complaints that lack a clear medical cause and are linked to psychological distress, coping deficits, and functional impairment. Assessment focuses on understanding the patient’s emotional state, coping mechanisms, and impact on daily life. While safety is always a priority, violence riskis not typically associated with somatization unless comorbid conditions exist.
Rationale for correct answers
4.Potential for violence is not a core concern in somatization disorder unless there are comorbid psychiatricconditions; it is least relevantin standard assessment.
Rationale for incorrect answers
1.Understanding coping mechanisms is essential to identify maladaptive strategiesand guide therapeutic interventions.
2.Diagnostic workups help rule out organic causes, supporting accurate diagnosis and avoiding unnecessary medical procedures.
3.Limitations in daily living reflect the functional impactof symptoms and guide care planning and outcome evaluation.
Take Home Points
- Violence risk is not a primary concern in somatization disorder unless other psychiatric risks are present.
- Assessment should focus on coping, functional limitations, and diagnostic clarity.
- Understanding the psychological basis of symptoms is essential for effective care.
- Functional impairment guides nursing interventions and outcome planning.
Correct Answer is B
Explanation
Conversion disorderis a subtype of somatic symptom and related disorders where psychological stress is unconsciously transformed into physical symptoms. These symptoms often reflect symbolic resolution of internal conflict and are not intentionally produced. The disorder is marked by motor, sensory, or seizure-likesymptoms that lack a medical explanation. Anxiety is often present but not consciously acknowledged, and the physical symptom serves to reduce psychological distress by shifting focus away from the emotional conflict.
Rationale for correct answers
2.Symptom relief occurs because the physical manifestation symbolically resolves the internal psychological conflict. The anxiety is unconsciously converted, and the symptom provides psychological escape from distress. This defense mechanism reduces conscious awareness of anxiety.
Rationale for incorrect answers
1.Free-floatinganxiety refers to generalized anxiety disorder, where anxiety is persistent and not linked to a specific trigger. In conversion disorder, anxiety is linked to unconscious conflict and not diffusely experienced.
3.Consciously felt anxietycontradicts the nature of conversion disorder, where the anxiety is repressed and not directly experienced. The client is unaware of the psychological origin of the symptom.
4.Projected anxietyinvolves attributing internal feelings to external sources, which is more characteristic of psychotic or personality disorders. Conversion disorder involves internalization and somatization, not projection.
Take Home Points
- Conversion disorder involves unconscious transformation of psychological stress into physical symptoms.
- Anxiety is present but not consciously acknowledged; symptoms serve to relieve internal conflict.
Differentiation from malingering and factitious disorder is essential, as symptoms are not intentionally produced.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.