NURS 3381 Exam 3 questions with answers |\ |\ |\ |\ |\ |\
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 |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔Chronic low self-esteem
|\ |\ |\ |\ |\ |\ |\
To assist a patient diagnosed with a somatic system disorder, a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nursing intervention of high priority is to: - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔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 ANSWERS ✔✔Illness anxiety disorder (hypochondriasis)
|\ |\ |\ |\ |\
A nurse assessing a patient diagnosed with a somatic system
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disorder is most likely to note that the patient: - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔Body
|\ |\ |\ |\ |\ |\ |\ |\
dysmorphic disorder |\
,Which assessment finding best supports the diagnosis of
|\ |\ |\ |\ |\ |\ |\ |\
dissociative amnesia with fugue? The patient states: - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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 ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Dissociative identity disorder |\ |\
A nurse assesses a patient diagnosed with functional neurological
|\ |\ |\ |\ |\ |\ |\ |\
(conversion) disorder. Which comment is most likely from this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient? - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔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 |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Body dysmorphic disorder |\ |\ |\
A nurse counseling a patient diagnosed with dissociative identity
|\ |\ |\ |\ |\ |\ |\ |\ |\
disorder (DID) should understand that the assessment of highest
|\ |\ |\ |\ |\ |\ |\ |\ |\
priority is: - CORRECT ANSWERS ✔✔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 ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔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 ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔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 ANSWERS ✔✔secondary gains
|\ |\ |\ |\ |\ |\ |\ |\
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 |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔Chronic low self-esteem
|\ |\ |\ |\ |\ |\ |\
To assist a patient diagnosed with a somatic system disorder, a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nursing intervention of high priority is to: - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔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 ANSWERS ✔✔Illness anxiety disorder (hypochondriasis)
|\ |\ |\ |\ |\
A nurse assessing a patient diagnosed with a somatic system
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disorder is most likely to note that the patient: - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔Body
|\ |\ |\ |\ |\ |\ |\ |\
dysmorphic disorder |\
,Which assessment finding best supports the diagnosis of
|\ |\ |\ |\ |\ |\ |\ |\
dissociative amnesia with fugue? The patient states: - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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 ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Dissociative identity disorder |\ |\
A nurse assesses a patient diagnosed with functional neurological
|\ |\ |\ |\ |\ |\ |\ |\
(conversion) disorder. Which comment is most likely from this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient? - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔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 |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Body dysmorphic disorder |\ |\ |\
A nurse counseling a patient diagnosed with dissociative identity
|\ |\ |\ |\ |\ |\ |\ |\ |\
disorder (DID) should understand that the assessment of highest
|\ |\ |\ |\ |\ |\ |\ |\ |\
priority is: - CORRECT ANSWERS ✔✔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 ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔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 ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔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 ANSWERS ✔✔secondary gains
|\ |\ |\ |\ |\ |\ |\ |\
