(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.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale:

Altered motor functions and sensory symptoms are more indicative of conversion disorder rather than illness anxiety disorder. Conversion disorder involves neurological symptoms that cannot be medically explained, which contrasts with the preoccupation with serious illness seen in illness anxiety disorder.

Choice B rationale:

Intentionally producing physical symptoms for attention aligns with factitious disorder, where individuals feign or induce symptoms to assume the sick role. This behavior does not align with the diagnostic criteria for illness anxiety disorder.

Choice C rationale:

This choice correctly identifies the key characteristic of illness anxiety disorder, which involves excessive worry about having a serious illness despite minimal or no symptoms. This preoccupation causes distress and often leads the individual to seek medical reassurance repeatedly.

Choice D rationale:

Experiencing chronic physical symptoms with excessive responses might be seen in somatic symptom disorder, where the distress and impairment caused by the symptoms are disproportionate. However, this choice does not specifically address the preoccupation with serious illness that defines illness anxiety disorder.

A. Provide excessive attention to the client's physical complaints. B. Withhold praise for the client's achievements. C. Acknowledge and praise the client for their improvement. D. Encourage the client to focus solely on their illness behavior.

Correct Answer is C

Explanation

Choice A rationale:

Providing excessive attention to the client's physical complaints is not conducive to the client's progress. While it's important to address the client's concerns, excessive focus on physical complaints can reinforce illness behavior and hinder the development of healthier coping mechanisms.

Choice B rationale:

Withholding praise for the client's achievements is not supportive of the client's progress. Positive reinforcement is essential for motivating and reinforcing adaptive behaviors. By acknowledging the client's achievements, the nurse can boost their self-esteem and encourage continued improvement.

Choice C rationale:

Acknowledging and praising the client for their improvement is a beneficial approach. Positive reinforcement enhances the client's sense of accomplishment and encourages them to continue engaging in positive behaviors. This approach fosters a therapeutic relationship and supports the client's journey towards better health.

Choice D rationale:

Encouraging the client to focus solely on their illness behavior is counterproductive. Overemphasis on illness behavior can perpetuate the symptoms and prevent the client from developing a broader sense of identity and well-being.

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(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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for several clients with somatic symptom illnesses. Which of the following clients is most likely to have illness anxiety disorder?

Correct Answer is C

Explanation

A client with a somatic symptom illness is experiencing improvements in their symptoms and daily functioning. What should the nurse do to support the client's progress?

Correct Answer is C

Explanation

A nurse is discussing potential complications of somatic symptom illnesses with a client. Which of the following factors can influence the client's outcomes in managing their condition?

A nurse is assessing a client with a somatic symptom illness. Which of the following manifestations may be associated with this disorder?

(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.

A nurse is caring for a client who exhibits chronic physical symptoms that cannot be fully explained by medical conditions. These symptoms cause distress and impairment in the client's daily life. What term is used to describe this condition?

(Select All That Apply):. A nurse is assisting a client with a somatic symptom illness to establish a daily routine. Which of the following behaviors should the nurse encourage the client to adopt? Select all that apply.

A nurse is discussing treatment approaches for somatic symptom illnesses. Which therapy is commonly used to address underlying emotional factors and manage symptoms?

(Select all that apply):. A nurse is explaining different classes of antidepressant medications to a client. Which of the following are examples of selective serotonin reuptake inhibitors (SSRIs)? Select all that apply.

A nurse is assessing clients with somatic symptom illnesses. Select all the statements that accurately describe illness anxiety disorder.