GUIDE COMPREHENSIVE REVIEW
◉ A patient says, "I'm not worth the time you spend with me. I'm the
most useless person in the world." What is this?
A. Powerlessness
B. Defensive coping
C. Situational low self-esteem
D. Disturbed personal identity. Answer: C. Situational low self-
esteem
◉ Which beverage should the nurse offer to a patient diagnosed
with major depressive disorder who refuses solid food?
A. Tomato juice
B. Orange juice
C. Hot tea
D. Milk. Answer: D. Milk
◉ A nurse is caring for a patient with low self-esteem. Which
nonverbal communication should the nurse anticipate?
A. Arms crossed
B. Staring at the nurse
,C. Smiling inappropriately
D. Eyes pointed downward. Answer: D. Eyes pointed downward
◉ A medical-surg nurse works with a patient with a somatic system
disorder. The patient will probably:
A. readily seek psychiatric counseling
B. be resistant to accepting psychiatric help
C. attend psychotherapy sessions without encouragement
D. be eager to discover the true reasons for physical symptoms..
Answer: B. be resistant to accepting psychiatric help
◉ A patient has blindness related to a functional neurological
(conversion) disorder but is unconcerned about it. This is:
A. suppressing accurate feelings regarding the problem
B. relieving anxiety through the physical symptom
C. meeting needs through hospitalization
D. refusing to disclose genuine fears. Answer: B. relieving anxiety
through the physical symptom
◉ To assist a patient diagnosed with a somatic system disorder, a
nursing intervention of high priority is to:
A. imply that somatic symptoms are not real
B. help the patient suppress feelings of anger
, C. shift the focus from somatic symptoms to feelings
D. investigate each physical symptom as soon as it is reported.
Answer: C. shift the focus from somatic symptoms to feelings
◉ A nurse assessing a patient diagnosed with a somatic system
disorder is most likely to note that the patient:
A. readily sees a relationship between symptoms and interpersonal
conflicts
B. rarely derives personal benefit from the symptoms
C. has little difficulty communicating emotional needs
D. has unmet needs related to comfort and activity. Answer: D. has
unmet needs related to comfort and activity
◉ Patients with somatic system disorders have difficulty giving up
the symptoms, because the symptoms:
A. are generally chronic in nature
B. have a physiological basis
C. can be voluntarily controlled
D. provide relief from anxiety. Answer: D. provide relief from anxiety
◉ Which prescription med would the nurse expect to be prescribed
for a patient with a somatic symptom disorder?
A. Narcotic analgesics for use as needed for acute pain