PSYC 5015 Chapter 27- Somatic Symptom and Dissociative Disorders (Portage learning)

Chapter 27: Somatic Symptom and Dissociative Disorders When assessing a client with somatic symptom disorder, which would the nurse most likely note?  Denial and repression are the chief defense mechanisms used.  The client's symptoms are under the conscious control of the client.  Reports of physical symptoms do not have a demonstrable organic basis to fully account for them.  The client willfully controls the physical symptoms. Somatic symptom disorder is characterized by what?  Self-inflicted injuries  Severe physical symptoms unexplainable by any organic or physical pathology  Self-induced disease states or faked symptoms to garner attention  Physical symptoms coupled with extreme focus on emotional state The nurse assess a client who presents with pain related to somatic symptom disorder (SSD). Which question does the nurse include in the assessment based on the diagnosis of SSD? Select all that apply.  “What has worked in the past to relieve the pain?”  “When is the pain at its worst?”  “What is the extent of the pain?”  “What helps the pain get better?”  “What is the pain like?” A client with a somatic symptom disorder (SSD) reports severe abdominal pain. The nurse suspects the client’s pain is related to SSD. Which action should the nurse take first?  Administer the ordered pain medication.  Reposition the client.  Determine the last dose of the client’s antidepressant.  Determine the quality of the client’s pain. Which would be most important for a nurse to do when caring for a client with somatic symptom disorder?  Develop a sound, positive nurse-client relationship  Administer prescribed pharmacotherapy  Ensure adherence to counseling  Assist in developing a daily routine A psychiatric-mental health nurse is assessing an adult client who intentionally creates false physical symptoms to avoid work. The client discloses that the symptoms stop after evading work. Which finding should be documented in the client’s medical record?  hysteria  cyberchondria  internalization  malingering After teaching a group of nursing students about somatic symptom disorder, the instructor determines that additional education is needed when the students identify which as true?  The client embraces the "sick role."  The client believes that his/her condition is catastrophic and disabling.  The client believes he/she has a serious illness.  The client usually thinks anxiety is behind the symptoms. When describing somatic symptom disorder to a group of nurses, which would the nurse include as a significant obstacle in providing psychiatric care for clients with that disorder?  Clients are often embarrassed about the number and extent of their physical complaints.  Clients are often unrecognized because clients seek out multiple care providers and care is often fragmented.  Clients find it difficult to go to a clinic setting.  There are no known successful treatments for this disorder. A nurse is providing care to a client with somatic symptoms disorder(SSD). Which information would the nurse need to integrate into the client's plan of care?  Clients have success in work situations.  Clients are convinced that the problem is of physical origin.  Clients understand that the problem is mental origin.