Somatic Symptom Illness Nursing Interventions Quiz
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Questions and Answers

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

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

    • What is the nursing intervention to diminish secondary gain?

  • Involve the client in the usual activities, self-care, eating in the dining room, and so on, as you would other clients. (correct)
  • Minimize interactions with the client to reduce reinforcement of behavior.
  • Encourage the client to focus on the severity of the symptom.
  • Isolate the client from usual activities to minimize attention.

    • What is the primary assessment data indicating ineffective denial?

  • Presence of physical limitation or disability with indifference to the severity of the symptom. (correct)
  • Refusal to seek health care for the physical symptom.
  • Difficulty with feelings of anger, hostility, or conflict.
  • Lack of insight into stress, conflict, or problematic relationships.

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

    <p>Demonstrate use of the problem-solving process.</p> Signup and view all the answers

    What is the assessment data indicating lack of insight into stress, conflict, or problematic relationships?

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

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

    <p>Negotiate resolution of conflicts with family, friends, and significant others.</p> Signup and view all the answers

    What is a key nursing intervention for clients with conversion reactions?

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

    What should be the focus of nursing interventions for clients with conversion reactions?

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

    What should nurses teach clients and their families in managing conversion reactions?

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

    Why is lack of attention to physical complaints important in managing conversion reactions?

    <p>It minimizes secondary gain and shifts client's focus</p> Signup and view all the answers

    What should nurses explore with clients experiencing conversion reactions?

    <p>Personal relationships and related feelings</p> Signup and view all the answers

    What is the initial step in the application of the nursing process for clients with conversion reactions?

    <p>Thorough investigation of physical health status</p> Signup and view all the answers

    Which of the following is a characteristic of clients with somatization disorder?

    <p>Exaggerated emotions and physical symptoms</p> Signup and view all the answers

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

    <p>Limited ability to identify emotional feelings</p> Signup and view all the answers

    What is a common nursing diagnosis for hypochondriasis/illness anxiety disorder?

    <p>Ineffective coping and denial of emotional problems</p> Signup and view all the answers

    What are the expected immediate outcomes for nursing care for clients with somatization disorder?

    <p>Client participation in the treatment program and decreased physical complaints</p> Signup and view all the answers

    What is a common focus of clients who somatize?

    <p>Exaggerated physical concerns and struggle to identify emotional feelings</p> Signup and view all the answers

    What is a characteristic of clients with hypochondriasis?

    <p>Focus solely on physical concerns and have low self-esteem</p> Signup and view all the answers

    What is a crucial aspect of educating the client and their family about hypochondriacal behavior and the treatment plan?

    <p>Explaining the treatment plan in detail and addressing hypochondriacal behavior</p> Signup and view all the answers

    What is a key strategy to help clients with somatic symptom illness cope with physical symptoms as a coping strategy?

    <p>Avoiding special privileges and reducing the benefits of illness</p> Signup and view all the answers

    What is an essential aspect of helping clients with somatic symptom illness plan to meet their needs?

    <p>Providing positive reinforcement for healthier behavior</p> Signup and view all the answers

    What is a crucial topic to discuss with clients and their significant others for effective treatment?

    <p>Discussing and reducing secondary gains, such as attention or escape from responsibilities</p> Signup and view all the answers

    What is crucial to teach clients with somatic symptom illness regarding daily living habits and stress management?

    <p>Teaching healthful daily living habits and stress management techniques</p> Signup and view all the answers

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

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

    What is the primary purpose of initial nursing assessment for clients with physical complaints?

    <p>To identify genuine physical problems and provide baseline for planning care</p> Signup and view all the answers

    What is a key nursing intervention to help clients with physical complaints identify connections between anxiety and physical symptoms?

    <p>Encourage the client to keep a diary of stresses and symptoms to identify relationships</p> Signup and view all the answers

    What should nurses do if physical complaints dominate the conversation with a client?

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

    What is the recommended approach to managing physical complaints in clients?

    <p>Encourage nonchemical methods of pain relief and stress management</p> Signup and view all the answers

    What is the purpose of allowing the client a specific time limit to discuss physical complaints?

    <p>To limit the dominance of physical complaints in the conversation</p> Signup and view all the answers

    What is the role of nursing assessment in dealing with physical complaints?

    <p>To provide baseline for planning care</p> Signup and view all the answers

    What is the initial nursing assessment for dealing with physical complaints?

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

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

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

    What is the role of nursing staff in collaboration with medical staff?

    <p>To limit medications and treatments available to the client</p> Signup and view all the answers

    How should nursing staff handle physical complaints dominating the conversation?

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

    What should nursing staff encourage the client to do in relation to stress management?

    <p>Encourage nonchemical methods of pain relief and stress management</p> Signup and view all the answers

    What should nursing staff help the client identify in relation to physical symptoms?

    <p>Connections between stress and physical symptoms</p> Signup and view all the answers

    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

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    Description

    Test your knowledge of psychiatric nursing care for clients with somatic symptom illness and interventions for dealing with physical complaints with this quiz. Covering topics such as emotional expression, family education, nursing assessments, and collaborative care, this quiz will challenge your understanding of effective nursing interventions for clients with somatic symptom illness.

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