Which statement would indicate to the nurse that the client understands somatic symptom illness?
"I have to avoid stress all my life to avoid getting sick again."
"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."
"Taking medication won't help my pain since it's caused by stress."
The Correct Answer is C
Choice A reason: This statement reflects a misunderstanding. Stress cannot be avoided entirely in life, and believing one must avoid all stress is unrealistic. It suggests the client does not grasp the importance of developing adaptive coping strategies rather than avoidance.
Choice B reason: This statement shows limited insight. Somatic symptom illness is chronic and often persists even when symptoms fluctuate. Believing one will return to their "old self" once symptoms disappear ignores the role of psychological factors and coping mechanisms in managing the illness.
Choice C reason: This statement demonstrates accurate understanding. Somatic symptom illness is influenced by how stress and emotions are managed. Recognizing the mind-body connection shows insight into the disorder and supports the importance of psychological interventions alongside medical care.
Choice D reason: This statement reflects partial understanding but is inaccurate. While stress contributes to symptoms, medications can still play a role in managing pain and associated conditions. Dismissing medication entirely shows a lack of balanced understanding of treatment options.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Sweating, tremors, and insomnia are not common side effects of benzodiazepines; they are withdrawal symptoms.
Choice B reason: Increasing dosage would not resolve withdrawal symptoms and could worsen dependency.
Choice C reason: Abrupt discontinuation of benzodiazepines leads to withdrawal symptoms, including autonomic hyperactivity, tremors, and insomnia. This is the most likely explanation.
Choice D reason: Tolerance develops with long-term use, but the described symptoms are consistent with withdrawal, not tolerance.
Correct Answer is C
Explanation
Choice A reason: While touch can sometimes convey security, in dissociative identity disorder (DID), touch may trigger traumatic memories or cause distress if not consented to. Therefore, assuming touch will always provide security is unsafe and not therapeutic.
Choice B reason: Touching only when in the client’s line of vision may reduce surprise, but it does not address the fundamental issue of consent. Even if the client sees the nurse, the act of touching without permission can still be intrusive and retraumatizing.
Choice C reason: The best practice is to avoid touching without explicit permission. Clients with DID often have histories of trauma, and unwanted touch can trigger dissociation or flashbacks. Seeking permission respects boundaries, promotes trust, and ensures safety in therapeutic interactions.
Choice D reason: Informing the client that touch is friendly and supportive may help in some contexts, but it still bypasses the client’s autonomy. Without permission, even well-intentioned touch can be harmful. Consent is the critical factor in maintaining therapeutic safety.
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