NURS 3381 Exam 3 Questions and Correct
Answers/ Latest Update / Already Graded
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:
Ans: 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:
Ans: 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:
Ans: 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?
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Ans: Chronic low self-esteem
To assist a patient diagnosed with a somatic system disorder, a nursing
intervention of high priority is to:
Ans: 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?
Ans: Illness anxiety disorder (hypochondriasis)
A nurse assessing a patient diagnosed with a somatic system disorder
is most likely to note that the patient:
Ans: 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:
Ans: provide relief from health anxiety.
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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:
Ans: 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?
Ans: Body dysmorphic disorder
Which assessment finding best supports the diagnosis of dissociative
amnesia with fugue? The patient states:
Ans: 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?
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Ans: Dissociative identity disorder
A nurse assesses a patient diagnosed with functional neurological
(conversion) disorder. Which comment is most likely from this patient?
Ans: 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?
Ans: Risk for suicide
Select the correct etiology to complete this nursing diagnosis for a
patient diagnosed with dissociative identity disorder: Disturbed
personal identity, related to:
Ans: cognitive distortions associated with unresolved
childhood abuse issues
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:
Ans: describing previously forgotten experiences
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