Questions and Correct Answers Graded
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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 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 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.
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
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.
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.
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 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
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