(Select all that apply):. A nurse is discussing various goals that can be set for the treatment of somatic symptom illnesses. Which of the following are realistic and measurable goals that a client might aim for? Select all that apply.
Complete elimination of all physical symptoms.
Reduction in the frequency and intensity of physical symptoms.
Improvement in mood and self-esteem.
Ability to manage stress and cope with symptoms effectively.
Developing a dislike for medical appointments.
Correct Answer : B,C,D
Choice A rationale:
Complete elimination of all physical symptoms - This choice might not be a realistic and achievable goal for clients with somatic symptom illnesses. These conditions often involve complex factors and underlying psychological issues that might not allow for the complete elimination of physical symptoms. Furthermore, the mind-body connection in these cases can make it challenging to solely focus on the physical aspect.
Choice B rationale:
Reduction in the frequency and intensity of physical symptoms - This is a realistic and measurable goal for clients with somatic symptom illnesses. Many of these illnesses involve somatization, where emotional distress is manifested as physical symptoms. By working towards reducing the frequency and intensity of these symptoms, clients can experience improved quality of life and functioning.
Choice C rationale:
Improvement in mood and self-esteem - This is a valid goal for clients with somatic symptom illnesses. These conditions often coexist with mood disorders and low self-esteem. Addressing these psychological aspects can lead to better overall well-being and a reduction in the somatic symptoms. Additionally, improved mood and self-esteem can contribute to a client's ability to cope effectively with their symptoms.
Choice D rationale:
Ability to manage stress and cope with symptoms effectively - This is an essential goal for clients with somatic symptom illnesses. Stress can exacerbate physical symptoms and create a cycle of distress. Teaching clients effective stress management and coping strategies can empower them to handle their symptoms in a healthier way, which can ultimately lead to an improvement in their overall condition.
Choice E rationale:
Developing a dislike for medical appointments - This is not a realistic or relevant goal for the treatment of somatic symptom illnesses. Medical appointments are necessary for proper assessment, diagnosis, and treatment of these conditions. Encouraging a dislike for medical appointments could hinder the client's progress and adherence to treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Illness anxiety disorder involves excessive worry about having a serious illness, often despite minimal or no symptoms. While this choice relates to anxiety about being sick, it does not encompass the chronic physical symptoms without clear medical explanation that the client in the scenario is experiencing.
Choice B rationale:
Conversion disorder involves neurological symptoms such as altered motor functions or sensory deficits that cannot be explained by medical conditions. However, this choice doesn't account for the chronic nature of the symptoms described in the scenario.
Choice C rationale:
Somatic symptom disorder is characterized by chronic physical symptoms that cause distress and impairment, but the symptoms cannot be fully explained by medical conditions alone. This is the most appropriate choice for the client in the scenario, as it aligns with the chronic and distressing nature of the symptoms.
Choice D rationale:
Factitious disorder involves intentionally falsifying or inducing physical or psychological symptoms for the purpose of assuming the sick role. This choice does not reflect the chronic nature of the symptoms in the scenario, nor does it address the distress experienced by the client.
Correct Answer is B
Explanation
Choice A rationale:
Hypnosis involves inducing a trance-like state to enhance focus and concentration, but it does not involve inserting needles into the body. It is often used for relaxation, pain management, and behavioral changes.
Choice B rationale:
Acupuncture is a non-pharmacological intervention that involves inserting thin needles into specific points on the body to stimulate energy flow, according to traditional Chinese medicine. This technique is believed to help rebalance the body's energy pathways and can be used to address various physical and psychological conditions.
Choice C rationale:
Biofeedback involves teaching individuals to control physiological processes such as heart rate, muscle tension, and blood pressure. It provides real-time information about these processes, allowing individuals to learn how to regulate them. However, it does not involve the insertion of needles into the body.
Choice D rationale:
Physical therapy focuses on improving physical function and mobility through exercises and techniques. It does not involve the use of needles or energy flow stimulation, making it less relevant to somatic symptom illness treatment compared to acupuncture.
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