Podcast
Questions and Answers
Which nursing diagnosis is associated with the presence of physical limitation or disability with indifference to the severity of the symptom?
Which nursing diagnosis is associated with the presence of physical limitation or disability with indifference to the severity of the symptom?
What is the expected outcome for the client in the immediate phase?
What is the expected outcome for the client in the immediate phase?
What is a nursing intervention aimed at diminishing secondary gain in the client?
What is a nursing intervention aimed at diminishing secondary gain in the client?
What is the primary assessment data associated with the nursing diagnosis of Ineffective Denial?
What is the primary assessment data associated with the nursing diagnosis of Ineffective Denial?
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What is the expected outcome for the client in the stabilization phase?
What is the expected outcome for the client in the stabilization phase?
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What is the immediate nursing intervention to enhance the client's participation and diminish secondary gain?
What is the immediate nursing intervention to enhance the client's participation and diminish secondary gain?
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What should be included in the initial nursing assessment?
What should be included in the initial nursing assessment?
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When should the client be referred to medical staff for assessment and treatment?
When should the client be referred to medical staff for assessment and treatment?
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What should nursing staff do to limit medications and treatments available to the client?
What should nursing staff do to limit medications and treatments available to the client?
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How should nursing staff respond if physical complaints dominate the conversation?
How should nursing staff respond if physical complaints dominate the conversation?
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What should nursing staff encourage the client to do to identify relationships between stress and symptoms?
What should nursing staff encourage the client to do to identify relationships between stress and symptoms?
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What should nursing staff minimize in their response to physical complaints?
What should nursing staff minimize in their response to physical complaints?
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Which nursing diagnosis is appropriate for hypochondriasis/illness anxiety disorder?
Which nursing diagnosis is appropriate for hypochondriasis/illness anxiety disorder?
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What is a common characteristic of clients with somatization disorder?
What is a common characteristic of clients with somatization disorder?
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What is a key difference between clients with illness anxiety disorder and somatization disorder?
What is a key difference between clients with illness anxiety disorder and somatization disorder?
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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?
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What is a characteristic of clients with hypochondriasis?
What is a characteristic of clients with hypochondriasis?
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What is an expected community outcome for clients with somatization disorder?
What is an expected community outcome for clients with somatization disorder?
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What is the recommended approach for nursing interventions when dealing with clients with conversion reactions?
What is the recommended approach for nursing interventions when dealing with clients with conversion reactions?
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What is the purpose of avoiding attention to physical complaints in clients with conversion reactions?
What is the purpose of avoiding attention to physical complaints in clients with conversion reactions?
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What should be the expectation regarding client participation in activities and privileges?
What should be the expectation regarding client participation in activities and privileges?
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What should the nursing interventions focus on when dealing with clients with conversion reactions?
What should the nursing interventions focus on when dealing with clients with conversion reactions?
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What skills should be taught to clients and their families as part of nursing interventions for conversion reactions?
What skills should be taught to clients and their families as part of nursing interventions for conversion reactions?
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What is the role of the nursing process in dealing with clients with conversion reactions?
What is the role of the nursing process in dealing with clients with conversion reactions?
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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?
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What is important to minimize the need to use physical symptoms to express negative emotions in clients with somatic symptom illness?
What is important to minimize the need to use physical symptoms to express negative emotions in clients with somatic symptom illness?
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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?
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What is important for effective treatment of clients with somatic symptom illness?
What is important for effective treatment of clients with somatic symptom illness?
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What is crucial to teach the client and their family about when working with clients who somatize?
What is crucial to teach the client and their family about when working with clients who somatize?
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What is commonly used as a nursing diagnosis when working with clients who somatize?
What is commonly used as a nursing diagnosis when working with clients who somatize?
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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.