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Review Questions

1 .
What is the defining feature of somatic symptom disorder?
  1. the absence of a medical explanation for the client’s physical symptoms
  2. the presence of chronic pain
  3. significant focus on physical symptoms to the point of major emotional distress and problems functioning
  4. the presence of at least one diagnosed chronic medical illness
2 .
What is one risk factor for development of somatic symptom disorder?
  1. deep denial of a physical cause of distressing symptoms
  2. a history of substance misuse
  3. a history of deceptive and manipulative behavior
  4. a history of schizophrenia
3 .
Why is teaching a client diagnosed with SSD to focus on the “here and now” such an effective strategy?
  1. It emphasizes the present moment and encourages clients to redirect their attention away from distressing or anxious thoughts to the present experience.
  2. It reminds clients that they’re fabricating their symptoms for attention.
  3. It prevents clients from thinking too much about future goals and plans.
  4. It keeps the clients focused on the overall goal of complete symptom remission.
4 .
What is one of the defining characteristics of functional neurological disorder?
  1. There is one or more confirmed neurological diagnoses.
  2. The symptoms being exhibited are not being “faked;” they occur subconsciously.
  3. It is treatable using traditional neurological therapies.
  4. It is typically chronic and lifelong.
5 .
How can cultural factors act as risk factors for the development of functional neurological disorder?
  1. Some cultures forbid physical manifestations of distress.
  2. They encourage doctor shopping.
  3. Family members may inadvertently reinforce or encourage symptoms.
  4. They may encourage the client to seek end-of-life care prematurely.
6 .
What is the term for the sensation of a lump in the throat associated with functional neurological disorder?
  1. esophageal stricture
  2. dysphagia
  3. esophageal narrowing
  4. globus
7 .
What is one of the main differences between somatic symptom disorder (SSD) and factitious disorder?
  1. People with SSD need empathy and understanding while those with factitious disorder should be approached with caution.
  2. Clients with factitious disorder should be encouraged to voice their fears and concerns over illness, while nurses should enforce strict boundaries with clients with SSD.
  3. The symptoms and distress experienced by clients with SSD are not factitious or feigned, while signs of illness and injury in clients with factitious disorder are purposefully fabricated and/or exaggerated for attention.
  4. A history of trauma is a risk factor for SSD but not for factitious disorder.
8 .
What is the purpose of enforcing strict boundaries with clients with factitious disorder?
  1. to limit their access to unnecessary tests and treatments and attempts at manipulative behavior with health-care providers
  2. to prevent them from seeking care
  3. to let them know that they are not to be believed
  4. to cure them of their disorder
9 .
When assessing a client with factitious disorder, what is an important thing to note?
  1. any sincere feelings that the client may seem to exhibit
  2. whether or not you agree with what the client states as their medical history
  3. inconsistencies in their stories
  4. clients cause health-care providers to lose compassion
10 .
During the admission nursing assessment, what will the nurse identify as risk factors for illness anxiety disorder?
  1. verbalizing feelings about a job the client has held for the last five years
  2. expressing fear of fatal disease that interferes with activities of daily living
  3. stating no other family members have medical problems
  4. describing a daily schedule that changes as necessary
11 .
Why would persons diagnosed with illness anxiety disorder develop rituals or strict routines?
  1. to prove their independence in self-care
  2. to discover a cure for rare diseases
  3. to gain control and relief from stressors
  4. to complement medical advice
12 .
What statement by the client would cause the nurse to recognize behaviors associated with illness anxiety disorder?
  1. “Tara rarely calls me—I don’t hear from her unless she needs money.”
  2. “Tara texts me daily to ask if I think she has some terrible disease.”
  3. “I’m concerned about Tara’s friends who seem to party a lot.”
  4. “I’m sure Tara will continue with her college courses this term.”

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