NURS 3381 Exam 3 LATEST 2025 WITH CORRECT QUESTIONS AND
DETAILED ANSWERS/ALREADY GRADED A+
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 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.
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
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.
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.
,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 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.
A patient says, I know I have a brain tumor despite the results of the magnetic resonance image
(MRI). The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited
all day. Which response by the nurse fosters cognitive restructuring? - CORRECT ANSWER-Lets
see whether any other explanations for your vomiting are possible
,Which treatment modality should a nurse recommend to help a patient diagnosed with somatic
symptom disorder cope more effectively? - CORRECT ANSWER-Relaxation
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 diagnosed with depersonalization disorder tells the nurse, Its starting again. I feel as
though Im going to float away. The nurse should help the patient by: - CORRECT ANSWER-
helping the patient focus on the here and now
A patient diagnosed with somatic symptom disorder has been in treatment for 4 weeks. The
patient says, Although Im still having pain, I notice it less and am able to perform more
activities. The nurse should evaluate the treatment plan as: - CORRECT ANSWER-partially
successful
A therapist recently convicted of multiple counts of Medicare fraud says, SureI overbilled. Why
not? Everyone takes advantage of the government, so I did too. These statements show: -
CORRECT ANSWER-lack of guilt feelings.
Which intervention is appropriate for a patient diagnosed with an antisocial personality disorder
who frequently manipulates others? - CORRECT ANSWER-Refer the patients requests and
questions to the case manager.
As a nurse prepares to administer a medication to a patient diagnosed with a borderline
personality disorder, the patient says, Just leave it on the table. Ill take it when I finish combing
my hair. What is the nurses best response? - CORRECT ANSWER-Say to the patient, I must watch
you take the medication. Please take it now.
DETAILED ANSWERS/ALREADY GRADED A+
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 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.
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
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.
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.
,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 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.
A patient says, I know I have a brain tumor despite the results of the magnetic resonance image
(MRI). The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited
all day. Which response by the nurse fosters cognitive restructuring? - CORRECT ANSWER-Lets
see whether any other explanations for your vomiting are possible
,Which treatment modality should a nurse recommend to help a patient diagnosed with somatic
symptom disorder cope more effectively? - CORRECT ANSWER-Relaxation
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 diagnosed with depersonalization disorder tells the nurse, Its starting again. I feel as
though Im going to float away. The nurse should help the patient by: - CORRECT ANSWER-
helping the patient focus on the here and now
A patient diagnosed with somatic symptom disorder has been in treatment for 4 weeks. The
patient says, Although Im still having pain, I notice it less and am able to perform more
activities. The nurse should evaluate the treatment plan as: - CORRECT ANSWER-partially
successful
A therapist recently convicted of multiple counts of Medicare fraud says, SureI overbilled. Why
not? Everyone takes advantage of the government, so I did too. These statements show: -
CORRECT ANSWER-lack of guilt feelings.
Which intervention is appropriate for a patient diagnosed with an antisocial personality disorder
who frequently manipulates others? - CORRECT ANSWER-Refer the patients requests and
questions to the case manager.
As a nurse prepares to administer a medication to a patient diagnosed with a borderline
personality disorder, the patient says, Just leave it on the table. Ill take it when I finish combing
my hair. What is the nurses best response? - CORRECT ANSWER-Say to the patient, I must watch
you take the medication. Please take it now.
