Answer Choices:
a. Mood
b. Cognitive style
c. Secondary gains
d. Identity and memory
Answer:
c. Secondary gains
Question: A patient diagnosed with a somatic symptom disorder has the nursing diagnosis: Interrupted family processes, related to patient’s disabling symptoms as evidenced by the spouse and children assuming roles and tasks that previously belonged to patient. What is an appropriate outcome for this patient?
Answer Choices:
a. Assumes roles and functions of the other family members.
b. Demonstrate a resumption of former roles and tasks.
c. Focuses energy on problems occurring in the family.
d. Relies on family members to meet personal needs.
Answer:
b. Demonstrate a resumption of former roles and tasks.
Question: To assist a patient diagnosed with a somatic system disorder, which nursing intervention is of highest priority?
Answer Choices:
a. Ignoring the patient’s somatic symptoms.
b. Helping the patient suppress feelings of anger.
c. Shifting the focus from somatic symptoms to feelings.
d. Investigating each physical symptom as soon as it is reported.
Answer:
c. Shifting the focus from somatic symptoms to feelings.
Question: A patient diagnosed with somatic symptom disorder has been in treatment for 4 weeks. The patient says, “Although I’m still having pain, I notice it less and I am able to perform more activities.” The nurse should evaluate the treatment plan using which expected outcome as a success measure?
Answer Choices:
a. The ability to perform activities at a pre-illness level.
b. Regularly attending prescribed diversional activity groups.
c. Identifying personal coping patterns that are proving to be ineffective.
d. Decreased preoccupation with symptoms and an increased ability to perform activities of daily living suggest partial success of the treatment plan. Total success is rare because of patient resistance.
Answer:
d. Decreased preoccupation with symptoms and an increased ability to perform activities of daily living suggest partial success of the treatment plan. Total success is rare because of patient resistance.
Question: A nurse talks with the caregiver of a combat veteran diagnosed with severe traumatic brain injuries. The caregiver says, “I don’t know how much longer I can do it. My whole life is consumed with taking care of my partner.” Which response best addresses the needs of the caregiver?
Answer Choices:
a. “How are you taking care of yourself?”
b. “Let’s review your partner’s diagnostic results.”
c. “I have some web-based programs for you to visit.”
d. “Your partner is lucky to have someone so devoted.”
Answer:
a. “How are you taking care of yourself?”
Question: Instructions concerning what stress management technique should be included in the care plan of a patient diagnosed with a somatic symptom disorder?
Answer Choices:
a. Mindful awareness
b. Positive self-talk
c. Take a time out
d. Meditation
Answer:
d. Meditation
Question: A soldier returned home last year after deployment to a war zone. The soldier’s spouse reports, “We were going to start a family but now he won’t talk about it. He will not look at children. I wonder if we’re going to make it as a couple.” What response best addresses the spouse’s concerns?
Answer Choices:
a. “Posttraumatic stress disorder often changes a person’s sexual functioning.”
b. “I encourage you to continue to participate in social activities where children are present.”
c. “Have you talked with your spouse about these reactions? Sometimes we just need to confront behavior.”
d. “Posttraumatic stress disorder strains relationships. I will suggest some community resources for help and support.”
Answer:
d. “Posttraumatic stress disorder strains relationships. I will suggest some community resources for help and support.”
Question: A patient who fears serious heart disease was referred to the mental health center by a cardiologist after diagnostic evaluation showed no physical illness. The patient says, “My heart misses beats. I’m frequently absent from work. I don’t go out much because I need to rest.” Which health problem is most likely?
Answer Choices:
a. Depersonalization disorder
b. Antisocial personality disorder
c. Illness anxiety disorder
d. Persistent depressive disorder
Answer:
c. Illness anxiety disorder
Question: A nurse assesses the health status of veterans of the war in Afghanistan. Screening will be a priority for signs and symptoms of which health problems? (Select all that apply.)
Answer Choices:
a. Schizophrenia
b. Eating disorder
c. Traumatic brain injury
d. Seasonal affective disorder
e. Posttraumatic stress disorder
Answer:
C, E
Question: A soldier returns to the United States from active duty in a combat zone. The soldier is diagnosed with posttraumatic stress disorder (PTSD). Which comment by the soldier requires the nurse’s immediate attention? a. “It’s good to be home. I missed my family and friends.” b. “I saw my best friend get killed by a roadside bomb. It should have been me instead.” c. “Sometimes I think I hear bombs exploding, but it’s just the noise of traffic in my hometown.” d. “I want to continue my education but I’m not sure how I will fit in with other college students.”
Answer Choices:
a. “It’s good to be home. I missed my family and friends.”
b. “I saw my best friend get killed by a roadside bomb. It should have been me instead.”
c. “Sometimes I think I hear bombs exploding, but it’s just the noise of traffic in my hometown.”
d. “I want to continue my education but I’m not sure how I will fit in with other college students.”
Answer:
B
Question: For a patient diagnosed with somatic symptom disorder, what statement would effectively complete the long-term outcome of “Within 4 weeks, the patient will demonstrate an ability to”?
Answer Choices:
a. Verbalize feelings of depression and emotional reactivity.”
b. Function independently on a basic level.”
c. Regularly attending prescribed diversional activity groups.”
d. Identifying personal coping patterns that are proving to be ineffective.”
Answer:
b. Function independently on a basic level.”
Question: What is the primary difference between somatic system disorders and dissociative disorders?
Answer Choices:
a. They are under voluntary control.
b. They are related to resolved stress.
c. They are generally strongly cultural bound.
d. They are psychological stress expressed through somatic symptoms.
Answer:
d. They are psychological stress expressed through somatic symptoms.
Question: A veteran of the war in Afghanistan was diagnosed with posttraumatic stress disorder (PTSD). The veteran says, “If there’s a loud noise at night, I get under my bed because I think we’re getting bombed.” What type of experience has the veteran described? a. Illusion b. Flashback c. Nightmare d. Auditory hallucination
Answer Choices:
a. Illusion
b. Flashback
c. Nightmare
d. Auditory hallucination
Answer:
B
Question: A college student reports that, “My vision is too blurry to read effectively, especially when it’s time to be studying for a test.” Which health problem should be considered initially?
Answer Choices:
a. Malingering
b. Illness anxiety
c. Factitious disorder
d. Functional neurological disorder
Answer:
a. Malingering
Question: A patient with a diagnosis of somatic symptom disorder is being assessed. What assessment questions are appropriate and therapeutic in nature? (Select all that apply.)
Answer Choices:
a. “Do you have periods of amnesia or memory gaps?”
b. “Would you consider yourself to be mentally ill?”
c. “Have you ever been told that your symptoms are not real?”
d. “Are you able to care for yourself and meet your own basic needs?”
e. “How do the members of your immediate family react to your illness?”
Answer:
B, D, E