The nurse is creating a plan of care for a client with somatic symptom disorder. Which long-term treatment outcomes for this client will be most achievable and measurable? (Select all that apply.)
The client will demonstrate alternative ways to deal with stress, anxiety, and other feelings.
The client will verbally express emotional feelings.
The client will identify the relationship between stress and physical symptoms.
The client will learn to vary their schedule.
The client will assume responsibility for self-care activities.
Correct Answer : A,B,C,E
Choice A reason: Demonstrating alternative ways to deal with stress and anxiety is a measurable outcome, as the client can be observed utilizing different coping strategies in response to stressors.
Choice B reason: The ability to verbally express emotional feelings is an important therapeutic goal for clients with somatic symptom disorder, as it can help them articulate emotions rather than expressing them through physical symptoms.

Choice C reason: Identifying the relationship between stress and physical symptoms is a key component of managing somatic symptom disorder, as it helps the client understand how psychological factors can manifest physically.
Choice D reason: Learning to vary their schedule can help the client avoid routines that may contribute to stress, providing a sense of control and flexibility.
Choice E reason: Assuming responsibility for self-care activities is a significant step towards empowerment and self-management, which is essential for long-term treatment success.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Sharing personal feelings openly with the client can blur the professional boundaries necessary for a therapeutic relationship and is not typically encouraged.
Choice B reason: Establishing boundaries is crucial in maintaining a professional and therapeutic relationship, ensuring that both the nurse and client understand the limits and expectations of their interactions.
Choice C reason: While offering advice can be part of the therapeutic process, it is more important for the nurse to guide clients in finding their own solutions rather than providing direct advice.
Choice D reason: A therapeutic relationship should be professional and not based on personal feelings. The nurse's concern should be on the client's well-being rather than being liked.
Choice E reason: Maintaining a client focus at all times ensures that the care provided is centered on the client's needs, which is essential in a therapeutic relationship.
Correct Answer is D
Explanation
Choice A reason: A decreased display of emotions, or blunted affect, is common in dementia as the illness affects the brain areas responsible for emotion regulation.
Choice B reason: While personality changes can occur, they do not typically present as complete opposites of original traits.
Choice C reason: Decreased auditory and visual acuity can be part of the cognitive decline associated with dementia.
Choice D reason: Forgetfulness that progresses to disorientation is a hallmark of dementia, reflecting the deterioration of cognitive functions over time.
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