All are recommended treatment for somatic system disorder except
Psychotherapy
Antipsychotics
Anti-anxiety medications
Antidepressants
The Correct Answer is B
A. Psychotherapy. Cognitive-behavioral therapy (CBT) is the first-line treatment for somatic symptom disorder (SSD). It helps patients recognize and modify maladaptive thoughts about their physical symptoms, reducing distress and improving coping mechanisms.
B. Antipsychotics. Antipsychotic medications are not typically recommended for SSD unless there is a comorbid psychotic disorder or severe delusional thinking. SSD is primarily driven by excessive health-related anxiety and preoccupation with physical symptoms, not psychosis.
C. Anti-anxiety medications. Short-term use of anxiolytics (e.g., benzodiazepines) may help with acute anxiety symptoms, but they are not the preferred treatment due to the risk of dependence. SSRIs and psychotherapy are more effective long-term for managing anxiety in SSD.
D. Antidepressants. SSRIs and SNRIs are commonly used to treat SSD, especially when there is underlying depression or anxiety. These medications help reduce excessive preoccupation with physical symptoms and improve overall emotional well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Meaningless rhythm of words. This describes word salad, a disorganized speech pattern where words are strung together without logical connection, often seen in schizophrenia or severe psychosis.
B. Roundabout. This refers to circumstantial speech, where an individual provides excessive, unnecessary details before eventually arriving at the main point. This is commonly seen in mania, obsessive-compulsive disorder (OCD), or cognitive impairment.
C. Made-up words. Neologisms are newly invented words or phrases that have no meaning to others but may carry personal significance to the individual. This is frequently observed in schizophrenia, psychotic disorders, or neurological conditions like aphasia.
D. Repeating of another's words. This describes echolalia, a speech disturbance where a person repeats words or phrases spoken by others, often seen in autism spectrum disorder (ASD), schizophrenia, or catatonia.
Correct Answer is D
Explanation
A. Mesolimbic pathway is responsible for reward, motivation, and emotion. In schizophrenia, hyperactivity of this pathway leads to positive symptoms such as hallucinations, delusions, and disorganized thinking.
B. Nigrostriatal pathway regulates motor control. Dopamine blockade in this pathway leads to extrapyramidal symptoms (EPS) such as tremors, rigidity, and tardive dyskinesia, which are side effects of first-generation antipsychotics (typical antipsychotics).
C. Tuberoinfundibular pathway controls prolactin secretion. Dopamine inhibits prolactin release, so blocking D2 receptors with antipsychotics leads to hyperprolactinemia, causing gynecomastia, galactorrhea, and menstrual irregularities.
D. Mesocortical pathway is responsible for cognition, motivation, and emotional regulation. In schizophrenia, hypoactivity of this pathway is linked to negative symptoms such as apathy, anhedonia, social withdrawal, and cognitive impairment. Antipsychotics that block dopamine further worsen these symptoms, making negative symptoms more difficult to treat.
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