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 B
Explanation
A. Adderall (amphetamine/dextroamphetamine) is a stimulant that increases dopamine and norepinephrine levels in the brain, improving focus and impulse control in individuals with ADHD. It is a Schedule II controlled substance due to its potential for abuse and dependence.
B. Strattera (atomoxetine) is a non-stimulant medication used for ADHD. It is a selective norepinephrine reuptake inhibitor (NRI) that helps with attention and impulse control but has a lower risk of abuse compared to stimulant medications. Unlike stimulants, it may take several weeks to show full effects.
C. Vyvanse (lisdexamfetamine) is a stimulant that is a prodrug of dextroamphetamine, meaning it must be metabolized in the body before becoming active. This mechanism provides a longer, smoother effect with a lower potential for abuse compared to immediate-release stimulants.
D. Ritalin (methylphenidate) is a stimulant that increases dopamine and norepinephrine activity in the brain, improving focus and impulse control. It is commonly used in both children and adults with ADHD and has short-acting, intermediate, and long-acting formulations.
Correct Answer is B
Explanation
A. Repeated passage of saliva into clothing. There is no recognized disorder characterized by excessive saliva passage onto clothing. However, sialorrhea (excessive drooling) may occur in neurological conditions like cerebral palsy or as a side effect of medications like clozapine.
B. Repeated passage of feces into clothing. Encopresis is the repeated, involuntary or intentional passage of feces into inappropriate places, such as clothing or the floor, in children older than 4 years. It is often associated with chronic constipation, stool retention, and overflow incontinence, though it can also occur in response to emotional stress or behavioral issues.
C. Repeated passage of rights. This phrase does not correspond to any recognized medical or psychiatric condition.
D. Repeated voiding of urine into bed or clothing. This describes enuresis, not encopresis. Enuresis is the repeated involuntary or intentional voiding of urine into bed or clothing, occurring at least twice a week for three consecutive months in children older than 5 years. It can be nocturnal (night-time bedwetting), diurnal (daytime), or both.
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