Podcast
Questions and Answers
What is the expected outcome for the client within 4 to 5 days?
What is the expected outcome for the client within 4 to 5 days?
- Verbalize feelings of fear and anxiety
- Refusal to seek health care for the physical symptom
- Demonstrate use of the problem-solving process
- Identify the conflict underlying the physical symptoms (correct)
What is the primary nursing diagnosis mentioned in the text?
What is the primary nursing diagnosis mentioned in the text?
- Refusal to seek health care
- Ineffective Denial (correct)
- Lack of insight into stress and conflict
- Secondary Gain
What is the purpose of involving the client in usual activities and self-care?
What is the purpose of involving the client in usual activities and self-care?
- To increase the client's dependence on the nursing staff
- To isolate the client from others
- To enhance the client’s participation and diminish secondary gain (correct)
- To reinforce the denial of the physical symptoms
What is the client expected to verbalize during the stabilization phase?
What is the client expected to verbalize during the stabilization phase?
What should initial nursing assessment include?
What should initial nursing assessment include?
What does nursing assessment provide baseline for?
What does nursing assessment provide baseline for?
When should the client be referred to medical staff?
When should the client be referred to medical staff?
What should be encouraged for pain relief and stress management?
What should be encouraged for pain relief and stress management?
How should time and attention be given to complaints?
How should time and attention be given to complaints?
What should be done if physical complaints dominate conversation?
What should be done if physical complaints dominate conversation?
How should the client's perception of complaints be handled?
How should the client's perception of complaints be handled?
What should the client be encouraged to keep a diary of?
What should the client be encouraged to keep a diary of?
What should nursing interventions focus on?
What should nursing interventions focus on?
What should be noted and treated?
What should be noted and treated?
What should be explored in relation to physical symptoms?
What should be explored in relation to physical symptoms?
What should be collaborated on to limit for the client?
What should be collaborated on to limit for the client?
What is the expected outcome for the client within 4 to 5 days?
What is the expected outcome for the client within 4 to 5 days?
What is the primary focus of the nursing interventions mentioned in the text?
What is the primary focus of the nursing interventions mentioned in the text?
What is the client expected to verbalize during the stabilization phase?
What is the client expected to verbalize during the stabilization phase?
What is the purpose of involving the client in usual activities and self-care?
What is the purpose of involving the client in usual activities and self-care?
What should the client be encouraged to negotiate resolution of during the community phase?
What should the client be encouraged to negotiate resolution of during the community phase?
What does the nursing assessment data indicate about the client's attitude towards the physical symptom?
What does the nursing assessment data indicate about the client's attitude towards the physical symptom?
What should the nursing assessment include for dealing with physical complaints?
What should the nursing assessment include for dealing with physical complaints?
What should be encouraged for pain relief and stress management?
What should be encouraged for pain relief and stress management?
When should the client be referred to medical staff?
When should the client be referred to medical staff?
How should time and attention be given to physical complaints?
How should time and attention be given to physical complaints?
What should be encouraged for the client to identify connections between anxiety and physical symptoms?
What should be encouraged for the client to identify connections between anxiety and physical symptoms?
What must be noted and treated in dealing with physical complaints?
What must be noted and treated in dealing with physical complaints?
What is a key characteristic of clients with somatization disorder?
What is a key characteristic of clients with somatization disorder?
What is a distinguishing feature of clients with hypochondriasis?
What is a distinguishing feature of clients with hypochondriasis?
What is a common characteristic of clients with illness anxiety disorder?
What is a common characteristic of clients with illness anxiety disorder?
What is a primary concern for clients who somatize?
What is a primary concern for clients who somatize?
What is a common characteristic of clients with hypochondriasis and illness anxiety disorder?
What is a common characteristic of clients with hypochondriasis and illness anxiety disorder?
What is a distinguishing feature of clients with somatization disorder?
What is a distinguishing feature of clients with somatization disorder?
Which of the following is a characteristic of clients with somatization disorder?
Which of the following is a characteristic of clients with somatization disorder?
What is a common feature of clients with illness anxiety disorder?
What is a common feature of clients with illness anxiety disorder?
What is a key characteristic of hypochondriasis?
What is a key characteristic of hypochondriasis?
What is a distinguishing feature of clients who somatize?
What is a distinguishing feature of clients who somatize?
What is a common struggle for clients with hypochondriasis/illness anxiety disorder?
What is a common struggle for clients with hypochondriasis/illness anxiety disorder?
What is an expected immediate outcome for nursing care of clients with somatization disorder?
What is an expected immediate outcome for nursing care of clients with somatization disorder?
What is an expected stabilization outcome for nursing care of clients with hypochondriasis?
What is an expected stabilization outcome for nursing care of clients with hypochondriasis?
What is an expected community outcome for clients with hypochondriasis/illness anxiety disorder?
What is an expected community outcome for clients with hypochondriasis/illness anxiety disorder?
What is a nursing diagnosis for hypochondriasis/illness anxiety disorder?
What is a nursing diagnosis for hypochondriasis/illness anxiety disorder?
What is a common struggle for clients who somatize?
What is a common struggle for clients who somatize?
What is a characteristic of clients with somatization disorder?
What is a characteristic of clients with somatization disorder?
What is the recommended approach for handling physical complaints from clients with conversion reactions?
What is the recommended approach for handling physical complaints from clients with conversion reactions?
What is the recommended focus of nursing interventions for clients with conversion reactions?
What is the recommended focus of nursing interventions for clients with conversion reactions?
What should be taught to the client and family as part of nursing interventions for conversion reactions?
What should be taught to the client and family as part of nursing interventions for conversion reactions?
What does the application of the nursing process involve in the context of conversion reactions?
What does the application of the nursing process involve in the context of conversion reactions?
What may clients with conversion disorder show little of when describing physical limitations or lack of a medical diagnosis?
What may clients with conversion disorder show little of when describing physical limitations or lack of a medical diagnosis?
What is the potential outcome of lack of attention to physical complaints from clients with conversion reactions?
What is the potential outcome of lack of attention to physical complaints from clients with conversion reactions?
What is an important aspect of nursing care for clients with somatic symptom illness?
What is an important aspect of nursing care for clients with somatic symptom illness?
What is crucial for long-term behavior change in clients with somatic symptom illness?
What is crucial for long-term behavior change in clients with somatic symptom illness?
What is crucial to help the client plan to meet their needs in more direct ways?
What is crucial to help the client plan to meet their needs in more direct ways?
What is important for effective treatment of clients with somatic symptom illness?
What is important for effective treatment of clients with somatic symptom illness?
What is crucial to teach the client in relation to healthful daily living habits and stress management techniques?
What is crucial to teach the client in relation to healthful daily living habits and stress management techniques?
What are common nursing diagnoses used when working with clients who somatize?
What are common nursing diagnoses used when working with clients who somatize?
What should nursing interventions for clients with conversion reactions focus on?
What should nursing interventions for clients with conversion reactions focus on?
What should be the approach for handling physical complaints from clients with conversion reactions?
What should be the approach for handling physical complaints from clients with conversion reactions?
What is the purpose of involving the client in usual activities and self-care?
What is the purpose of involving the client in usual activities and self-care?
What should be taught to the client and family as part of nursing interventions for conversion reactions?
What should be taught to the client and family as part of nursing interventions for conversion reactions?
What does medical evaluation of symptoms precede in the context of nursing interventions for clients with conversion reactions?
What does medical evaluation of symptoms precede in the context of nursing interventions for clients with conversion reactions?
What is a key characteristic of clients with conversion disorder?
What is a key characteristic of clients with conversion disorder?
What is the expected outcome for the client within 4 to 5 days in the context of nursing interventions for conversion reactions?
What is the expected outcome for the client within 4 to 5 days in the context of nursing interventions for conversion reactions?
What must be noted and treated in dealing with physical complaints from clients with conversion reactions?
What must be noted and treated in dealing with physical complaints from clients with conversion reactions?
What should the application of the nursing process involve in the context of conversion reactions?
What should the application of the nursing process involve in the context of conversion reactions?
What is provided as a screening test for somatic symptom severity in the context of nursing interventions for clients with conversion reactions?
What is provided as a screening test for somatic symptom severity in the context of nursing interventions for clients with conversion reactions?
What may clients with conversion disorder show little of when describing physical limitations or lack of a medical diagnosis?
What may clients with conversion disorder show little of when describing physical limitations or lack of a medical diagnosis?
What should be explored with the client in relation to physical symptoms in the context of nursing interventions for clients with conversion reactions?
What should be explored with the client in relation to physical symptoms in the context of nursing interventions for clients with conversion reactions?
What is a common nursing diagnosis used when working with clients who somatize?
What is a common nursing diagnosis used when working with clients who somatize?
What is crucial to help the client plan to meet their needs in more direct ways?
What is crucial to help the client plan to meet their needs in more direct ways?
What is important for effective treatment of clients with somatic symptom illness?
What is important for effective treatment of clients with somatic symptom illness?
What should be taught to the client and family as part of nursing interventions for somatic symptom illness?
What should be taught to the client and family as part of nursing interventions for somatic symptom illness?
What does nursing assessment commonly provide baseline for?
What does nursing assessment commonly provide baseline for?
What is a common struggle for clients who somatize?
What is a common struggle for clients who somatize?
What is a key characteristic of clients with somatic symptom illness?
What is a key characteristic of clients with somatic symptom illness?
What should be discussed and reduced with the client and their significant others for effective treatment?
What should be discussed and reduced with the client and their significant others for effective treatment?
What is important to encourage for pain relief and stress management?
What is important to encourage for pain relief and stress management?
What is a distinguishing feature of clients who somatize?
What is a distinguishing feature of clients who somatize?
What is a common characteristic of clients with hypochondriasis/illness anxiety disorder?
What is a common characteristic of clients with hypochondriasis/illness anxiety disorder?
What should be explored with the client in relation to physical symptoms?
What should be explored with the client in relation to physical symptoms?
What is a common nursing diagnosis used when working with clients who somatize?
What is a common nursing diagnosis used when working with clients who somatize?
What is essential to help the client plan to meet their needs in more direct ways?
What is essential to help the client plan to meet their needs in more direct ways?
What is crucial to teach the client in relation to healthful daily living habits and stress management techniques?
What is crucial to teach the client in relation to healthful daily living habits and stress management techniques?
What is a distinguishing feature of clients with somatization disorder?
What is a distinguishing feature of clients with somatization disorder?
What is a common characteristic of clients with hypochondriasis/illness anxiety disorder?
What is a common characteristic of clients with hypochondriasis/illness anxiety disorder?
What is a primary concern for clients who somatize?
What is a primary concern for clients who somatize?
What is crucial for long-term behavior change in clients with somatic symptom illness?
What is crucial for long-term behavior change in clients with somatic symptom illness?
What should nursing interventions focus on for clients with somatic symptom illness?
What should nursing interventions focus on for clients with somatic symptom illness?
What is crucial to discuss and reduce with the client and their significant others for effective treatment?
What is crucial to discuss and reduce with the client and their significant others for effective treatment?
What is important to avoid for the client to cope with physical symptoms as a coping strategy?
What is important to avoid for the client to cope with physical symptoms as a coping strategy?
What is crucial to talk to the client about and encourage them to express and reflect on?
What is crucial to talk to the client about and encourage them to express and reflect on?
What is crucial to teach the client healthful daily living habits, stress management techniques, and the possible connection between?
What is crucial to teach the client healthful daily living habits, stress management techniques, and the possible connection between?
Study Notes
Nursing Interventions for Dealing with Physical Complaints
- Initial nursing assessment should include physical assessment, history of previous complaints, and consideration of each current complaint
- Nursing assessment provides baseline for planning care
- Genuine physical problems must be noted and treated
- Client should be referred to medical staff for assessment and treatment for new complaints
- Collaboration with medical staff to limit medications and treatments available to the client
- Encourage nonchemical methods of pain relief and stress management
- Minimize time and attention given to complaints, focusing on the person as a whole
- Withdraw attention from physical complaints if they dominate conversation
- Allow the client a specific time limit to discuss physical complaints
- Acknowledge the client's perception of complaints and explore feelings
- Help the client identify connections between anxiety and physical symptoms
- Encourage the client to keep a diary of stresses and symptoms to identify relationships
Nursing Interventions for Clients with Conversion Reactions
- Medical evaluation of symptoms precedes withdrawal of attention from client's physical status
- Avoid discussing physical symptoms and withdraw attention if necessary
- Lack of attention to physical complaints minimizes secondary gain and shifts client's focus
- Expect client to participate in activities fully and avoid granting special privileges or excuses
- Focus on client's feelings, home/work situations, and relationships
- Explore personal relationships and related feelings with the client
- Teach stress management, interpersonal dynamics, and conflict resolution strategies to the client and family
- Discuss coping strategies that did not result in physical symptoms in the past
- Teach stress management skills, problem-solving process, and give positive feedback for expressing feelings
- Application of the nursing process involves thorough investigation of physical health status
- A screening test for somatic symptom severity is provided
- Clients with conversion disorder may show little emotion when describing physical limitations or lack of a medical diagnosis
Nursing Interventions for Clients with Conversion Reactions
- Medical evaluation of symptoms precedes withdrawal of attention from client's physical status
- Avoid discussing physical symptoms and withdraw attention if necessary
- Lack of attention to physical complaints minimizes secondary gain and shifts client's focus
- Expect client to participate in activities fully and avoid granting special privileges or excuses
- Focus on client's feelings, home/work situations, and relationships
- Explore personal relationships and related feelings with the client
- Teach stress management, interpersonal dynamics, and conflict resolution strategies to the client and family
- Discuss coping strategies that did not result in physical symptoms in the past
- Teach stress management skills, problem-solving process, and give positive feedback for expressing feelings
- Application of the nursing process involves thorough investigation of physical health status
- A screening test for somatic symptom severity is provided
- Clients with conversion disorder may show little emotion when describing physical limitations or lack of a medical diagnosis
Psychiatric Nursing Care for Clients with Somatic Symptom Illness
- It is important to talk to the client about their feelings, especially fear and helplessness, and encourage them to express and reflect on their emotions.
- The client may have difficulty expressing feelings directly, and consistent support is needed to help them develop these skills.
- Encouraging the client to express feelings directly, including negative emotions like anger and resentment, can minimize the need to use physical symptoms to express them.
- Educating the client and their family about hypochondriacal behavior and the treatment plan is crucial for long-term behavior change.
- Discussing and reducing secondary gains, such as attention or escape from responsibilities, with the client and their significant others is important for effective treatment.
- It is essential to help the client plan to meet their needs in more direct ways and provide positive reinforcement for healthier behavior.
- Avoiding special privileges and reducing the benefits of illness can help the client cope with physical symptoms as a coping strategy.
- Teaching the client healthful daily living habits, stress management techniques, and the possible connection between caffeine and anxiety symptoms is crucial.
- Clients with somatic symptom illness are unlikely to be employed, often lose jobs due to excessive absenteeism, and have difficulty fulfilling family roles.
- They may report a lack of family support and understanding and have few friends, spending most socialization time with members of the health care community.
- Clients somatizing often have sleep pattern disturbances, lack basic nutrition, and get no exercise, and may be taking multiple prescriptions for pain or other complaints.
- Nursing diagnoses commonly used when working with clients who somatize include ineffective coping, denial, impaired social interaction, anxiety, disturbed sleep pattern, fatigue, and pain.
Psychiatric Nursing Care for Clients with Somatic Symptom Illness
- It is important to talk to the client about their feelings, especially fear and helplessness, and encourage them to express and reflect on their emotions.
- The client may have difficulty expressing feelings directly, and consistent support is needed to help them develop these skills.
- Encouraging the client to express feelings directly, including negative emotions like anger and resentment, can minimize the need to use physical symptoms to express them.
- Educating the client and their family about hypochondriacal behavior and the treatment plan is crucial for long-term behavior change.
- Discussing and reducing secondary gains, such as attention or escape from responsibilities, with the client and their significant others is important for effective treatment.
- It is essential to help the client plan to meet their needs in more direct ways and provide positive reinforcement for healthier behavior.
- Avoiding special privileges and reducing the benefits of illness can help the client cope with physical symptoms as a coping strategy.
- Teaching the client healthful daily living habits, stress management techniques, and the possible connection between caffeine and anxiety symptoms is crucial.
- Clients with somatic symptom illness are unlikely to be employed, often lose jobs due to excessive absenteeism, and have difficulty fulfilling family roles.
- They may report a lack of family support and understanding and have few friends, spending most socialization time with members of the health care community.
- Clients somatizing often have sleep pattern disturbances, lack basic nutrition, and get no exercise, and may be taking multiple prescriptions for pain or other complaints.
- Nursing diagnoses commonly used when working with clients who somatize include ineffective coping, denial, impaired social interaction, anxiety, disturbed sleep pattern, fatigue, and pain.
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Description
Test your knowledge of nursing interventions for addressing physical complaints and providing psychiatric nursing care for clients with somatic symptom illness. Learn about assessment, collaboration with medical staff, encouraging nonchemical pain relief methods, addressing emotional needs, and promoting healthier behavior.
