NURS 3381 Exam 3 questions well
answered already passed
A medical-surgical nurse works with a patient diagnosed with a somatic system
disorder. Care planning is facilitated by understanding that the patient will
probably: - correct answer ✔✔be resistant to accepting psychiatric help.
A patient has blindness related to a functional neurological (conversion) disorder
but is unconcerned about this problem. Which understanding should guide the
nurses planning for this patient? The patient is: - correct answer ✔✔relieving
anxiety through the physical symptom.
A patient has blindness related to a functional neurological (conversion) disorder.
To help the patient eat, the nurse should: - correct answer ✔✔expect the patient
to feed himself or herself after explaining the arrangement of the food on the tray
A patient with blindness related to a functional neurological (conversion) disorder
says, All the doctors and nurses in this hospital stop by often to check on me. Too
bad people outside the hospital dont find me interesting. Which nursing diagnosis
is most relevant? - correct answer ✔✔Chronic low self-esteem
To assist a patient diagnosed with a somatic system disorder, a nursing
intervention of high priority is to: - correct answer ✔✔shift the focus from
somatic symptoms to feelings.
,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. Im frequently absent from work. I dont go
out much because I need to rest. Which health problem is most likely? - correct
answer ✔✔Illness anxiety disorder (hypochondriasis)
A nurse assessing a patient diagnosed with a somatic system disorder is most
likely to note that the patient: - correct answer ✔✔has unmet needs related to
comfort and activity.
To plan effective care for patients diagnosed with somatic system disorders, the
nurse should understand that patients have difficulty giving up the symptoms
because the symptoms: - correct answer ✔✔provide relief from health anxiety.
A patient diagnosed with a somatic symptom disorder has the nursing diagnosis:
Interrupted family processes, related to patients disabling symptoms as evidenced
by the spouse and children assuming roles and tasks that previously belonged to
patient. An appropriate outcome is that the patient will: - correct answer
✔✔demonstrate a resumption of former roles and tasks
A woman wears a size 7 shoe. She says, My feet are huge. Ive asked three
orthopedists to surgically reduce my feet. The patient tries to buy shoes to make
her feet look smaller and, in social settings, conceals both feet under a table or
chair. Which health problem is likely? - correct answer ✔✔Body dysmorphic
disorder
Which assessment finding best supports the diagnosis of dissociative amnesia
with fugue? The patient states: - correct answer ✔✔I cannot recall why Im living
in this town
,A college student observes a roommate going out wearing uncharacteristically
seductive clothing, returning 12 to 24 hours later, and then sleeping for 8 to 12
hours. At other times, the roommate sits on the floor speaking like a young child.
Which health problem should be considered? - correct answer ✔✔Dissociative
identity disorder
A nurse assesses a patient diagnosed with functional neurological (conversion)
disorder. Which comment is most likely from this patient? - correct answer
✔✔Since my father died, Ive been short of breath and had sharp pains that go
down my left arm, but I think its justindigestion.
A nurse counsels a patient diagnosed with body dysmorphic disorder. Which
nursing diagnosis would be a priority for the plan of care? - correct answer
✔✔Risk for suicide
Select the correct etiology to complete this nursing diagnosis for a patient
diagnosed with dissociative identity disorder: Disturbed personal identity, related
to: - correct answer ✔✔cognitive distortions associated with unresolved
childhood abuse issues
For a patient diagnosed with dissociative amnesia, complete this outcome: Within
4 weeks, the patient will demonstrate an ability to execute complex mental
processes by: - correct answer ✔✔describing previously forgotten experiences
15. A person comes to the clinic reporting, I wear a scarf across my lower face
when I go out but because of my ugly appearance. Assessment reveals an average
, appearance with no actual disfigurement. Which problem is most likely? - correct
answer ✔✔Body dysmorphic disorder
A nurse counseling a patient diagnosed with dissociative identity disorder (DID)
should understand that the assessment of highest priority is: - correct answer
✔✔risk for self-harm
A patient says, I feel detached and weird all the time, like Im looking at life
through a cloudy window. - correct answer ✔✔Depersonalization
A patient reports fears of having cervical cancer and says to the nurse, Ive had Pap
smears by six different doctors. The results are normal, but Im sure thats because
of errors in the laboratory. Which disorder would the nurse suspect? - correct
answer ✔✔Illness anxiety disorder (hypochondriasis)
A patient diagnosed with somatic symptom disorder says, I have pain from an
undiagnosed injury. I cant take care of myself. I need pain medicine six or seven
times a day. I feel like a baby because my family has to help me so much. It is
important for the nurse to assess: - correct answer ✔✔secondary gains
The causes of somatic system disorders may be related to: - correct answer
✔✔faulty perceptions of body sensations.
What is the primary difference between somatic system disorders and dissociative
disorders? - correct answer ✔✔Dissociative disorders entail stress-related
disruptions of memory, consciousness, or identity, whereas somatic system
disorders involve the expression of psychological stress through somatic
symptoms.
answered already passed
A medical-surgical nurse works with a patient diagnosed with a somatic system
disorder. Care planning is facilitated by understanding that the patient will
probably: - correct answer ✔✔be resistant to accepting psychiatric help.
A patient has blindness related to a functional neurological (conversion) disorder
but is unconcerned about this problem. Which understanding should guide the
nurses planning for this patient? The patient is: - correct answer ✔✔relieving
anxiety through the physical symptom.
A patient has blindness related to a functional neurological (conversion) disorder.
To help the patient eat, the nurse should: - correct answer ✔✔expect the patient
to feed himself or herself after explaining the arrangement of the food on the tray
A patient with blindness related to a functional neurological (conversion) disorder
says, All the doctors and nurses in this hospital stop by often to check on me. Too
bad people outside the hospital dont find me interesting. Which nursing diagnosis
is most relevant? - correct answer ✔✔Chronic low self-esteem
To assist a patient diagnosed with a somatic system disorder, a nursing
intervention of high priority is to: - correct answer ✔✔shift the focus from
somatic symptoms to feelings.
,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. Im frequently absent from work. I dont go
out much because I need to rest. Which health problem is most likely? - correct
answer ✔✔Illness anxiety disorder (hypochondriasis)
A nurse assessing a patient diagnosed with a somatic system disorder is most
likely to note that the patient: - correct answer ✔✔has unmet needs related to
comfort and activity.
To plan effective care for patients diagnosed with somatic system disorders, the
nurse should understand that patients have difficulty giving up the symptoms
because the symptoms: - correct answer ✔✔provide relief from health anxiety.
A patient diagnosed with a somatic symptom disorder has the nursing diagnosis:
Interrupted family processes, related to patients disabling symptoms as evidenced
by the spouse and children assuming roles and tasks that previously belonged to
patient. An appropriate outcome is that the patient will: - correct answer
✔✔demonstrate a resumption of former roles and tasks
A woman wears a size 7 shoe. She says, My feet are huge. Ive asked three
orthopedists to surgically reduce my feet. The patient tries to buy shoes to make
her feet look smaller and, in social settings, conceals both feet under a table or
chair. Which health problem is likely? - correct answer ✔✔Body dysmorphic
disorder
Which assessment finding best supports the diagnosis of dissociative amnesia
with fugue? The patient states: - correct answer ✔✔I cannot recall why Im living
in this town
,A college student observes a roommate going out wearing uncharacteristically
seductive clothing, returning 12 to 24 hours later, and then sleeping for 8 to 12
hours. At other times, the roommate sits on the floor speaking like a young child.
Which health problem should be considered? - correct answer ✔✔Dissociative
identity disorder
A nurse assesses a patient diagnosed with functional neurological (conversion)
disorder. Which comment is most likely from this patient? - correct answer
✔✔Since my father died, Ive been short of breath and had sharp pains that go
down my left arm, but I think its justindigestion.
A nurse counsels a patient diagnosed with body dysmorphic disorder. Which
nursing diagnosis would be a priority for the plan of care? - correct answer
✔✔Risk for suicide
Select the correct etiology to complete this nursing diagnosis for a patient
diagnosed with dissociative identity disorder: Disturbed personal identity, related
to: - correct answer ✔✔cognitive distortions associated with unresolved
childhood abuse issues
For a patient diagnosed with dissociative amnesia, complete this outcome: Within
4 weeks, the patient will demonstrate an ability to execute complex mental
processes by: - correct answer ✔✔describing previously forgotten experiences
15. A person comes to the clinic reporting, I wear a scarf across my lower face
when I go out but because of my ugly appearance. Assessment reveals an average
, appearance with no actual disfigurement. Which problem is most likely? - correct
answer ✔✔Body dysmorphic disorder
A nurse counseling a patient diagnosed with dissociative identity disorder (DID)
should understand that the assessment of highest priority is: - correct answer
✔✔risk for self-harm
A patient says, I feel detached and weird all the time, like Im looking at life
through a cloudy window. - correct answer ✔✔Depersonalization
A patient reports fears of having cervical cancer and says to the nurse, Ive had Pap
smears by six different doctors. The results are normal, but Im sure thats because
of errors in the laboratory. Which disorder would the nurse suspect? - correct
answer ✔✔Illness anxiety disorder (hypochondriasis)
A patient diagnosed with somatic symptom disorder says, I have pain from an
undiagnosed injury. I cant take care of myself. I need pain medicine six or seven
times a day. I feel like a baby because my family has to help me so much. It is
important for the nurse to assess: - correct answer ✔✔secondary gains
The causes of somatic system disorders may be related to: - correct answer
✔✔faulty perceptions of body sensations.
What is the primary difference between somatic system disorders and dissociative
disorders? - correct answer ✔✔Dissociative disorders entail stress-related
disruptions of memory, consciousness, or identity, whereas somatic system
disorders involve the expression of psychological stress through somatic
symptoms.
