The nurse is educating the client about their diagnosis of somatic symptom disorder. Which statement by the client will indicate to the nurse that the education has been effective?

"I have to avoid stress all my life to avoid getting sick again."

"Taking medication won't help my pain since it's caused by stress."

"As soon as my symptoms go away, I'll be my old self again."

"How I handle stress and emotions can affect my physical health."

Answer and Explanation

The Correct Answer is D

Choice A reason: This statement suggests a misunderstanding of somatic symptom disorder. Avoiding stress entirely is not realistic or beneficial for overall health.

Choice B reason: This statement is incorrect because while stress can exacerbate pain, medication may still be helpful in managing symptoms of somatic symptom disorder.

Choice C reason: This statement does not recognize the chronic nature of somatic symptom disorder, where symptoms may not completely go away and management is ongoing.

Choice D reason: This statement shows an understanding that psychological factors can influence physical symptoms, which is key in managing somatic symptom disorder.

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Correct Answer is B

Explanation

Choice A reason: While it's important to understand the client's concerns about being believed, this statement does not require immediate correction as it reflects a common worry among survivors of sexual assault.

Choice B reason: This statement is victim-blaming and perpetuates harmful stereotypes. It requires immediate correction to ensure the client receives compassionate and nonjudgmental care.

Choice C reason: Offering emotional support is an appropriate and necessary part of care for a survivor of sexual assault.

Choice D reason: Acknowledging the client's autonomy and the perpetrator's responsibility to respect consent is correct and does not require correction.

A. "Weight gain is a common but troubling side effect." B. "What have you been eating? Weight gain is not usually associated with lithium." C. "Weight gain occurs only during the first month of treatment with this drug." D. "That's strange. Weight loss is the typical pattern."

Correct Answer is A

Explanation

Choice A reason: Weight gain is indeed a known side effect of lithium treatment, and acknowledging this can validate the client's experience.

Choice B reason: This response could be perceived as blaming and does not acknowledge that weight gain can be a side effect of lithium.

Choice C reason: This statement is misleading as weight gain can occur beyond the first month of treatment with lithium.

Choice D reason: This statement is incorrect as weight loss is not the typical pattern associated with lithium; weight gain is more common.

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The nurse is educating the client about their diagnosis of somatic symptom disorder. Which statement by the client will indicate to the nurse that the education has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is working with another nurse in the emergency department (ED) when a client comes in stating they have been raped during a date. Which statement made by the other nurse privately requires immediate correction?

Correct Answer is B

Explanation

A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

Correct Answer is A

Explanation

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