NURS 3381 Exam 3 Latest Update
Questions & Answers with Rationales| 100%
Correct | Grade.
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:
Answ >be resistant to accepting psychiatric help.
Quiz 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:
Answ >relieving anxiety through the physical symptom.
Quiz A patient has blindness related to a functional neurological (conversion) disorder. To help
the patient eat, the nurse should:
Answ >expect the patient to feed himself or herself after explaining the arrangement of the
food on the tray
Quiz 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?
,Answ >Chronic low self-esteem
Quiz To assist a patient diagnosed with a somatic system disorder, a nursing intervention of
high priority is to:
Answ >shift the focus from somatic symptoms to feelings.
Quiz 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?
Answ >Illness anxiety disorder (hypochondriasis)
Quiz A nurse assessing a patient diagnosed with a somatic system disorder is most likely to note
that the patient:
Answ >has unmet needs related to comfort and activity.
Quiz 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:
Answ >provide relief from health anxiety.
Quiz 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:
Answ >demonstrate a resumption of former roles and tasks
Quiz 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?
Answ >Body dysmorphic disorder
Quiz Which assessment finding best supports the diagnosis of dissociative amnesia with fugue?
The patient states:
Answ >I cannot recall why Im living in this town
Quiz 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?
Answ >Dissociative identity disorder
Quiz A nurse assesses a patient diagnosed with functional neurological (conversion) disorder.
Which comment is most likely from this patient?
, Answ >Since my father died, Ive been short of breath and had sharp pains that go down my left
arm, but I think its justindigestion.
Quiz A nurse counsels a patient diagnosed with body dysmorphic disorder. Which nursing
diagnosis would be a priority for the plan of care?
Answ >Risk for suicide
Quiz Select the correct etiology to complete this nursing diagnosis for a patient diagnosed with
dissociative identity disorder: Disturbed personal identity, related to:
Answ >cognitive distortions associated with unresolved childhood abuse issues
Quiz 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:
Answ >describing previously forgotten experiences
Quiz 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?
Answ >Body dysmorphic disorder
Quiz A nurse counseling a patient diagnosed with dissociative identity disorder (DID) should
understand that the assessment of highest priority is:
Questions & Answers with Rationales| 100%
Correct | Grade.
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:
Answ >be resistant to accepting psychiatric help.
Quiz 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:
Answ >relieving anxiety through the physical symptom.
Quiz A patient has blindness related to a functional neurological (conversion) disorder. To help
the patient eat, the nurse should:
Answ >expect the patient to feed himself or herself after explaining the arrangement of the
food on the tray
Quiz 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?
,Answ >Chronic low self-esteem
Quiz To assist a patient diagnosed with a somatic system disorder, a nursing intervention of
high priority is to:
Answ >shift the focus from somatic symptoms to feelings.
Quiz 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?
Answ >Illness anxiety disorder (hypochondriasis)
Quiz A nurse assessing a patient diagnosed with a somatic system disorder is most likely to note
that the patient:
Answ >has unmet needs related to comfort and activity.
Quiz 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:
Answ >provide relief from health anxiety.
Quiz 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:
Answ >demonstrate a resumption of former roles and tasks
Quiz 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?
Answ >Body dysmorphic disorder
Quiz Which assessment finding best supports the diagnosis of dissociative amnesia with fugue?
The patient states:
Answ >I cannot recall why Im living in this town
Quiz 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?
Answ >Dissociative identity disorder
Quiz A nurse assesses a patient diagnosed with functional neurological (conversion) disorder.
Which comment is most likely from this patient?
, Answ >Since my father died, Ive been short of breath and had sharp pains that go down my left
arm, but I think its justindigestion.
Quiz A nurse counsels a patient diagnosed with body dysmorphic disorder. Which nursing
diagnosis would be a priority for the plan of care?
Answ >Risk for suicide
Quiz Select the correct etiology to complete this nursing diagnosis for a patient diagnosed with
dissociative identity disorder: Disturbed personal identity, related to:
Answ >cognitive distortions associated with unresolved childhood abuse issues
Quiz 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:
Answ >describing previously forgotten experiences
Quiz 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?
Answ >Body dysmorphic disorder
Quiz A nurse counseling a patient diagnosed with dissociative identity disorder (DID) should
understand that the assessment of highest priority is:
