(Select All That Apply):. A nurse is working with a client with a somatic symptom illness to identify healthy coping strategies. Which strategies should the nurse encourage the client to use? Select all that apply.
Problem-solving.
Denial of emotions.
Escaping from unpleasant situations.
Seeking social support.
Repressing emotions.
Correct Answer : A,D
Choice A rationale:
Problem-solving is an effective coping strategy for individuals with somatic symptom illness. Encouraging the client to identify and address the underlying issues contributing to their symptoms helps them gain a sense of control and reduces distress. By analyzing problems and generating possible solutions, the client can develop healthier ways to manage their symptoms.
Choice B rationale:
Denial of emotions is not a recommended coping strategy for somatic symptom illness. Denying emotions can lead to avoidance of underlying issues and exacerbate psychological distress. Encouraging clients to acknowledge and express their emotions is more beneficial for their overall well-being.
Choice C rationale:
Escaping from unpleasant situations is not a healthy coping strategy for somatic symptom illness. Avoidance of situations can reinforce avoidance behaviors and hinder the client's progress. It's important to promote facing challenges and developing adaptive coping mechanisms.
Choice D rationale:
Seeking social support is a valuable coping strategy for individuals with somatic symptom illness. Connecting with others and receiving empathy and understanding can help alleviate feelings of isolation and provide the client with a support system. Social support encourages positive emotional expression and sharing of experiences.
Choice E rationale:
Repressing emotions is not a recommended coping strategy for somatic symptom illness. Repression can lead to increased stress and potentially worsen physical symptoms. Encouraging emotional awareness and expression is more beneficial for the client's psychological well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Hypnosis (Choice A) is a relaxation technique that involves inducing a trance-like state of heightened focus and suggestibility. It does not involve electronic devices for monitoring physiological functions.
Choice B rationale:
Acupuncture (Choice B) is a traditional Chinese medicine practice involving needle insertion at specific points on the body. It is not related to using electronic devices for physiological monitoring.
Choice C rationale:
Psychotherapy (Choice C) encompasses various talk therapies used to address mental health issues. It does not specifically involve electronic devices for physiological feedback.
Choice D rationale:
Biofeedback involves using electronic devices to monitor physiological functions like heart rate, muscle tension, and skin conductance. Individuals receive real-time feedback and learn to control these functions through relaxation techniques. It is an effective approach for managing conditions like anxiety, headaches, and high blood pressure.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
The client experiences altered voluntary motor functions. This choice is not accurate in describing illness anxiety disorder. Altered voluntary motor functions are more characteristic of conversion disorder, not illness anxiety disorder.
Choice B rationale:
The client has excessive or maladaptive responses to symptoms. This choice accurately describes illness anxiety disorder. Individuals with this disorder exhibit excessive worry and preoccupation with the possibility of having a serious illness, often responding to mild or non-specific symptoms with disproportionate anxiety and distress.
Choice C rationale:
The client is preoccupied with having a serious illness. This choice is correct in describing illness anxiety disorder. Preoccupation with having a serious illness, despite little or no medical evidence, is a hallmark of this disorder. This preoccupation can lead to significant distress and impairment in daily functioning.
Choice D rationale:
The client intentionally produces physical symptoms. This choice is not accurate for illness anxiety disorder. Intentional symptom production is more characteristic of factitious disorder, where individuals purposefully produce or feign symptoms for various reasons.
Choice E rationale:
The client's symptoms are not intentionally produced and cause distress. This choice accurately characterizes illness anxiety disorder. The symptoms experienced by individuals with this disorder are not intentionally produced but are associated with distress due to the individual's persistent fear and belief in having a serious illness.
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