Prep U for Videbeck's Psychiatric-Mental Health Nursing, 7th Edition Chapter 21: Somatic Symptom Illnesses with correct elaborations

Which is a significant obstacle in providing psychiatric care for clients who have somatic symptom illnesses? CORRECT ANSWER Clients are often unrecognized because clients receive treatment in different primary care offices, and care is often fragmented. Somatic symptom illness disorders are characterized by what? CORRECT ANSWER Severe physical symptoms that cannot be explained by any organic or physical pathology A client complains of severe low back pain that began shortly after the death of the client's mother 2 years ago. No physical cause has been found to account for the pain. The client has been largely responsible for the care of four younger siblings because the client's father spends much of the week out of town on work-related business. Based on the client's symptoms, which nursing diagnosis is most appropriate for the client at this time? CORRECT ANSWER Somatic complaints due to anxiety related to life stressors In the care of a client with somatic symptom disorder, the nurse should anticipate that drug treatment will prioritize which class in order to treat the disorder? CORRECT ANSWER Selective serotonin reuptake inhibitors (SSRIs) A parent brings a teenage child, who is complaining of having a severe headache, to the clinic. The teenager is groaning with pain. During assessment, the client asks the nurse for a note to excuse the absence from school. After further assessment, the nurse suspects that the client is malingering. What leads the nurse to come to this conclusion? Choose the best answer. CORRECT ANSWER The client's symptoms disappeared after getting the medical note. A client with somatic symptom disorder is complaining of significant pain in the joints. When providing care to this client, which would be most important for a nurse to keep in mind? CORRECT ANSWER The client's experience of pain is real. The nurse is caring for a client with somatic symptom disorder. When assessing this client, the nurse would be especially alert for symptoms of what? CORRECT ANSWER Depression When assessing a client with somatic symptom disorder, which would the nurse most likely note? CORRECT ANSWER Reports of physical symptoms do not have a demonstrable organic basis to fully account for them