NURS 420 Exam 4 – Questions With
Comprehensive Solutions
Save Groups
Terms in this set (391)
What is Somatic Symptom Disorder A focus on somatic or physical symptoms such as
(SSD)? pain. Clients report excessive concern, anxiety, fear,
and preoccupation related to a condition.
What do Somatic Symptom Disorder A person having significant focus on physical
(SSD) and related disorders involve? concerns or complaints that result in disruption in
daily life
- Involve physical manifestations that are not
explained by any physical or mental health disorders
What is somatization? When emotional distress and psychological issues
are exhibited in physical manifestations that cannot
be explained medically
- Emotional distress and psychological issues
- Exhibited as manifestation
- Not explained by physical or mental health
disorder
Who is at a higher risk for - Younger children and females
somatization? - Older adults
- Individuals with concurrent medical illnesses
Why might SSD be underdiagnosed in Many of the common symptoms (eg: pain, fatigue)
older adults? are considered normal parts of aging, or because
anxiety is understandable given the number of
medical illnesses and medications older clients may
have
,What are the impacts of somatic Manifestations
symptom disorder (SSD)? Disruption in daily living
What are some of the manifestations Pain, GI issues, and sexual difficulties
of Somatic Symptom Disorder (SSD)? - Severity of symptoms may be exacerbated because
client may begin to feel hopeless and helpless as
symptoms cannot be scientifically explained
- Symptoms cause significant disruptions in daily life
What are some risk factors for SSD? - Adverse childhood experiences, such as childhood
neglect, sexual abuse, inconsistent lifestyle
behaviors, and a history of alcohol and substance
abuse
- Environmental factors: child abuse, low
socioeconomic status, limited education and
academic experiences, recently experienced health-
related life events such as pregnancy or cancer
diagnosis
What is the prevalence of SSD? Unknown exactly, but estimated to be 4-6% of
general population
- Females report more somatic symptoms than males
(prevalence higher in females)
What are clients who have SSD A diagnosis of major depressive disorder, panic
significantly more likely to have? disorder, and specific phobias like agoraphobia
- Suicidal ideation and history of suicide attempts are
more frequent with SSD and related disorders
,What does the diagnostic criteria for One or more manifestations that are either very
SSD include? distressing to the client or cause a significant
disruption in daily functioning: disproportionate
thoughts, feelings, and behaviors associated with the
somatic manifestations or spending excessive time
and energy focusing on these manifestations or
health
- The thoughts, behaviors, and disruptions must be
present for 6 months or more
- To reach this diagnosis, clients must have at least
one somatic symptom that is severely distressing or
results in a significant disruption in daily life, such as
job loss or the inability to function
What is the DSM-5 criteria for SSD? - One or more somatic symptoms that are distressing
or result in significant disruption of daily life.
- Excessive thoughts, feelings, or behaviors related to
the somatic symptoms or associated health concerns
as manifested by at least one of the following:
- Disproportionate and persistent thoughts about the
seriousness of one's symptoms.
- Persistently high level of anxiety about health or
symptoms.
- Excessive time and energy devoted to these
symptoms or health concerns.
- Although any one somatic symptom may not be
continuously present, the state of being symptomatic
is persistent (typically more than six months).
What are some somatic symptom and Somatic symptom disorder
related disorders? Illness anxiety disorder
Functional neurological symptom disorder
Factitious disorder
, What are some nursing interventions - Effective therapeutic communication
for somatic symptom and related - Develop healthy coping strategies and skills
disorders? - Encourage healthy lifestyle
- Psychosocial education
- Teach and encourage the use of relaxation
techniques.
- Encourage the client to participate in cognitive
behavioral therapy (CBT) and mindfulness-based
interventions and therapy.
- Encourage positive thinking or assist with cognitive
reframing.
- Assist the client in setting realistic goals.
- Provide symptomatic relief measures such as pain
medication or digestive relief. Always include a
careful assessment and determine what has worked
for the client in the past.
- Encourage self-management.
- Promote education about the disorder and assist
clients in exploring the connection between physical
complaints and emotional stressors. - The nurse
should avoid statements and judgments such as "your
symptoms are in your head," "you are making up your
symptoms," or "there is nothing medically wrong with
you."
- Provide medication education and encourage
adherence.
- Focus communication on the facilitation of
emotions over symptom severity.
What is the main treatment goal for To help the client develop positive approaches to
somatic symptom and related manage anxiety, decrease maladaptive behaviors,
disorders? and cope with physical manifestations, rather than
eliminate them
How can the nursing process be Recognizing cues (assessment) (Example: Somatic
applied to somatic symptom and symptom disorder and illness anxiety disorder)
related disorders? Generating solutions (planning)
Taking action (implementing)
Evaluate outcomes (evaluation)
Comprehensive Solutions
Save Groups
Terms in this set (391)
What is Somatic Symptom Disorder A focus on somatic or physical symptoms such as
(SSD)? pain. Clients report excessive concern, anxiety, fear,
and preoccupation related to a condition.
What do Somatic Symptom Disorder A person having significant focus on physical
(SSD) and related disorders involve? concerns or complaints that result in disruption in
daily life
- Involve physical manifestations that are not
explained by any physical or mental health disorders
What is somatization? When emotional distress and psychological issues
are exhibited in physical manifestations that cannot
be explained medically
- Emotional distress and psychological issues
- Exhibited as manifestation
- Not explained by physical or mental health
disorder
Who is at a higher risk for - Younger children and females
somatization? - Older adults
- Individuals with concurrent medical illnesses
Why might SSD be underdiagnosed in Many of the common symptoms (eg: pain, fatigue)
older adults? are considered normal parts of aging, or because
anxiety is understandable given the number of
medical illnesses and medications older clients may
have
,What are the impacts of somatic Manifestations
symptom disorder (SSD)? Disruption in daily living
What are some of the manifestations Pain, GI issues, and sexual difficulties
of Somatic Symptom Disorder (SSD)? - Severity of symptoms may be exacerbated because
client may begin to feel hopeless and helpless as
symptoms cannot be scientifically explained
- Symptoms cause significant disruptions in daily life
What are some risk factors for SSD? - Adverse childhood experiences, such as childhood
neglect, sexual abuse, inconsistent lifestyle
behaviors, and a history of alcohol and substance
abuse
- Environmental factors: child abuse, low
socioeconomic status, limited education and
academic experiences, recently experienced health-
related life events such as pregnancy or cancer
diagnosis
What is the prevalence of SSD? Unknown exactly, but estimated to be 4-6% of
general population
- Females report more somatic symptoms than males
(prevalence higher in females)
What are clients who have SSD A diagnosis of major depressive disorder, panic
significantly more likely to have? disorder, and specific phobias like agoraphobia
- Suicidal ideation and history of suicide attempts are
more frequent with SSD and related disorders
,What does the diagnostic criteria for One or more manifestations that are either very
SSD include? distressing to the client or cause a significant
disruption in daily functioning: disproportionate
thoughts, feelings, and behaviors associated with the
somatic manifestations or spending excessive time
and energy focusing on these manifestations or
health
- The thoughts, behaviors, and disruptions must be
present for 6 months or more
- To reach this diagnosis, clients must have at least
one somatic symptom that is severely distressing or
results in a significant disruption in daily life, such as
job loss or the inability to function
What is the DSM-5 criteria for SSD? - One or more somatic symptoms that are distressing
or result in significant disruption of daily life.
- Excessive thoughts, feelings, or behaviors related to
the somatic symptoms or associated health concerns
as manifested by at least one of the following:
- Disproportionate and persistent thoughts about the
seriousness of one's symptoms.
- Persistently high level of anxiety about health or
symptoms.
- Excessive time and energy devoted to these
symptoms or health concerns.
- Although any one somatic symptom may not be
continuously present, the state of being symptomatic
is persistent (typically more than six months).
What are some somatic symptom and Somatic symptom disorder
related disorders? Illness anxiety disorder
Functional neurological symptom disorder
Factitious disorder
, What are some nursing interventions - Effective therapeutic communication
for somatic symptom and related - Develop healthy coping strategies and skills
disorders? - Encourage healthy lifestyle
- Psychosocial education
- Teach and encourage the use of relaxation
techniques.
- Encourage the client to participate in cognitive
behavioral therapy (CBT) and mindfulness-based
interventions and therapy.
- Encourage positive thinking or assist with cognitive
reframing.
- Assist the client in setting realistic goals.
- Provide symptomatic relief measures such as pain
medication or digestive relief. Always include a
careful assessment and determine what has worked
for the client in the past.
- Encourage self-management.
- Promote education about the disorder and assist
clients in exploring the connection between physical
complaints and emotional stressors. - The nurse
should avoid statements and judgments such as "your
symptoms are in your head," "you are making up your
symptoms," or "there is nothing medically wrong with
you."
- Provide medication education and encourage
adherence.
- Focus communication on the facilitation of
emotions over symptom severity.
What is the main treatment goal for To help the client develop positive approaches to
somatic symptom and related manage anxiety, decrease maladaptive behaviors,
disorders? and cope with physical manifestations, rather than
eliminate them
How can the nursing process be Recognizing cues (assessment) (Example: Somatic
applied to somatic symptom and symptom disorder and illness anxiety disorder)
related disorders? Generating solutions (planning)
Taking action (implementing)
Evaluate outcomes (evaluation)
