Somatic Symptom Illness Nursing Care Quiz
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Questions and Answers

Which nursing diagnosis is associated with the presence of physical limitation or disability with indifference to the severity of the symptom?

  • Ineffective Denial (correct)
  • Risk for Impaired Skin Integrity
  • Anxiety
  • Acute Pain

What is the expected outcome for the client in the immediate phase?

  • Identify the conflict underlying the physical symptoms within 4 to 5 days (correct)
  • Demonstrate use of the problem-solving process
  • Negotiate resolution of conflicts with family, friends, and significant others
  • Verbalize knowledge of illness, including the concept of secondary gain

What is a nursing intervention aimed at diminishing secondary gain in the client?

  • Provide emotional support and reassurance
  • Administer pain medication as prescribed
  • Involve the client in the usual activities, self-care, eating in the dining room, and so on, as you would other clients (correct)
  • Encourage the client to rest and avoid physical activities

What is the primary assessment data associated with the nursing diagnosis of Ineffective Denial?

<p>Presence of physical limitation or disability with indifference to the severity of the symptom (D)</p> Signup and view all the answers

What is the expected outcome for the client in the stabilization phase?

<p>Verbalize feelings of fear, anger, guilt, or inadequacy (C)</p> Signup and view all the answers

What is the immediate nursing intervention to enhance the client's participation and diminish secondary gain?

<p>Involve the client in the usual activities, self-care, eating in the dining room, and so on, as you would other clients (A)</p> Signup and view all the answers

What should be included in the initial nursing assessment?

<p>Physical assessment, history of previous complaints, and consideration of each current complaint (A)</p> Signup and view all the answers

When should the client be referred to medical staff for assessment and treatment?

<p>For new complaints (D)</p> Signup and view all the answers

What should nursing staff do to limit medications and treatments available to the client?

<p>Collaborate with medical staff (D)</p> Signup and view all the answers

How should nursing staff respond if physical complaints dominate the conversation?

<p>Withdraw attention from physical complaints (B)</p> Signup and view all the answers

What should nursing staff encourage the client to do to identify relationships between stress and symptoms?

<p>Keep a diary of stresses and symptoms (D)</p> Signup and view all the answers

What should nursing staff minimize in their response to physical complaints?

<p>Time and attention given to complaints (A)</p> Signup and view all the answers

Which nursing diagnosis is appropriate for hypochondriasis/illness anxiety disorder?

<p>Ineffective coping (A)</p> Signup and view all the answers

What is a common characteristic of clients with somatization disorder?

<p>Exaggerated physical symptoms (B)</p> Signup and view all the answers

What is a key difference between clients with illness anxiety disorder and somatization disorder?

<p>Illness anxiety disorder involves fear of serious illness, while somatization disorder involves exaggerated physical symptoms (D)</p> Signup and view all the answers

What is an expected immediate outcome for nursing care of clients with somatization disorder?

<p>Client participation in the treatment program (C)</p> Signup and view all the answers

What is a characteristic of clients with hypochondriasis?

<p>Focus on bodily functions and rumination about illness (B)</p> Signup and view all the answers

What is an expected community outcome for clients with somatization disorder?

<p>Eliminating overuse of medications (A)</p> Signup and view all the answers

What is the recommended approach for nursing interventions when dealing with clients with conversion reactions?

<p>Avoid discussing physical symptoms and withdraw attention if necessary (C)</p> Signup and view all the answers

What is the purpose of avoiding attention to physical complaints in clients with conversion reactions?

<p>Minimizes secondary gain and shifts client's focus (D)</p> Signup and view all the answers

What should be the expectation regarding client participation in activities and privileges?

<p>Expect client to participate in activities fully and avoid granting special privileges or excuses (A)</p> Signup and view all the answers

What should the nursing interventions focus on when dealing with clients with conversion reactions?

<p>Client's feelings, home/work situations, and relationships (B)</p> Signup and view all the answers

What skills should be taught to clients and their families as part of nursing interventions for conversion reactions?

<p>Stress management, interpersonal dynamics, and conflict resolution strategies (B)</p> Signup and view all the answers

What is the role of the nursing process in dealing with clients with conversion reactions?

<p>Involves thorough investigation of physical health status (A)</p> Signup and view all the answers

What is crucial for long-term behavior change in clients with somatic symptom illness?

<p>Educating the client and their family about hypochondriacal behavior and the treatment plan (B)</p> Signup and view all the answers

What is important to minimize the need to use physical symptoms to express negative emotions in clients with somatic symptom illness?

<p>Encouraging the client to express feelings directly, including negative emotions like anger and resentment (D)</p> Signup and view all the answers

What is essential to help the client plan to meet their needs in more direct ways?

<p>Consistent support to help them develop skills in expressing feelings directly (C)</p> Signup and view all the answers

What is important for effective treatment of clients with somatic symptom illness?

<p>Discussing and reducing secondary gains, such as attention or escape from responsibilities, with the client and their significant others (C)</p> Signup and view all the answers

What is crucial to teach the client and their family about when working with clients who somatize?

<p>Hypochondriacal behavior and the treatment plan (B)</p> Signup and view all the answers

What is commonly used as a nursing diagnosis when working with clients who somatize?

<p>Ineffective coping (C)</p> Signup and view all the answers

Flashcards

Ineffective Denial (Nursing Diagnosis)

A nursing diagnosis used when a client with a physical limitation or disability shows indifference to the severity of the symptom.

Immediate Phase Outcome (Ineffective Denial)

The client identifies the conflict behind the physical symptoms within 4-5 days.

Diminishing Secondary Gain (Intervention)

Involving the client in normal daily activities (self-care, dining) to reduce the benefit gained from the symptoms.

Primary Assessment Data (Ineffective Denial)

Physical limitations or disability with a lack of concern about symptom severity.

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Stabilization Phase Outcome

The client verbalizes feelings of fear, anger, guilt, or inadequacy.

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Immediate Intervention (Participation)

Include the client in daily activities like self-care and dining to reduce perceived secondary gain from symptoms.

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Initial Nursing Assessment

A thorough physical assessment, history of complaints, and evaluation of each current complaint.

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Medical Referral

Referral prompts the client to be evaluated and treated by medical staff when new complaints arise.

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Limit Medications/Treatments

Collaborate with medical staff to reduce unnecessary medications and treatments.

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Responding to Physical Complaints

Avoid excessive attention to physical complaints to limit secondary gain.

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Stress-Symptom Diary

Encourage clients to keep a diary to note stresses and related symptoms.

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Minimizing Attention to Complaints

Nursing staff must minimize the time and attention devoted to complaints.

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Ineffective Coping (Nursing Diagnosis)

A nursing diagnosis applicable to hypochondriasis/illness anxiety disorder.

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Somatization Disorder Characteristic

Exaggerated physical symptoms are a common feature.

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Illness Anxiety Disorder vs. Somatization

Illness anxiety = fear of serious illness, somatization = exaggerated symptoms.

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Immediate Somatization Outcome

Client participation in the treatment program is an expected immediate outcome.

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Hypochondriasis Characteristic

Focus on bodily functions and rumination about illness.

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Community Somatization Outcome

Reducing overuse of medications is a community-level outcome.

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Conversion Reactions Intervention

Avoid discussing symptoms, redirect attention to feelings or home/work situations.

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Conversion Reactions Secondary Gain

Avoiding symptom discussion to diminish the client's benefit from the symptoms.

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Study Notes

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 psychiatric nursing care for clients with somatic symptom illness with this quiz. Explore the strategies for communicating with and supporting clients, educating them and their families, and addressing their physical and emotional needs. Learn about nursing diagnoses commonly used in this context and essential interventions for promoting healthier behavior and coping strategies.

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