36 Questions
What is the expected outcome for the client in the immediate phase?
Identify the conflict underlying the physical symptoms within 4 to 5 days.
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.
What is the primary assessment data indicating ineffective denial?
Presence of physical limitation or disability with indifference to the severity of the symptom.
What is the expected outcome for the client in the stabilization phase?
Demonstrate use of the problem-solving process.
What is the assessment data indicating lack of insight into stress, conflict, or problematic relationships?
Presence of physical limitation or disability with indifference to the severity of the symptom.
What is the expected outcome for the client in the community phase?
Negotiate resolution of conflicts with family, friends, and significant others.
What is a key nursing intervention for clients with conversion reactions?
Avoid discussing physical symptoms and withdraw attention if necessary
What should be the focus of nursing interventions for clients with conversion reactions?
Client's feelings, home/work situations, and relationships
What should nurses teach clients and their families in managing conversion reactions?
Stress management, interpersonal dynamics, and conflict resolution strategies
Why is lack of attention to physical complaints important in managing conversion reactions?
It minimizes secondary gain and shifts client's focus
What should nurses explore with clients experiencing conversion reactions?
Personal relationships and related feelings
What is the initial step in the application of the nursing process for clients with conversion reactions?
Thorough investigation of physical health status
Which of the following is a characteristic of clients with somatization disorder?
Exaggerated emotions and physical symptoms
What is a key difference between clients with illness anxiety disorder and hypochondriasis?
Limited ability to identify emotional feelings
What is a common nursing diagnosis for hypochondriasis/illness anxiety disorder?
Ineffective coping and denial of emotional problems
What are the expected immediate outcomes for nursing care for clients with somatization disorder?
Client participation in the treatment program and decreased physical complaints
What is a common focus of clients who somatize?
Exaggerated physical concerns and struggle to identify emotional feelings
What is a characteristic of clients with hypochondriasis?
Focus solely on physical concerns and have low self-esteem
What is a crucial aspect of educating the client and their family about hypochondriacal behavior and the treatment plan?
Explaining the treatment plan in detail and addressing hypochondriacal behavior
What is a key strategy to help clients with somatic symptom illness cope with physical symptoms as a coping strategy?
Avoiding special privileges and reducing the benefits of illness
What is an essential aspect of helping clients with somatic symptom illness plan to meet their needs?
Providing positive reinforcement for healthier behavior
What is a crucial topic to discuss with clients and their significant others for effective treatment?
Discussing and reducing secondary gains, such as attention or escape from responsibilities
What is crucial to teach clients with somatic symptom illness regarding daily living habits and stress management?
Teaching healthful daily living habits and stress management techniques
What is a common nursing diagnosis used when working with clients who somatize?
Ineffective coping
What is the primary purpose of initial nursing assessment for clients with physical complaints?
To identify genuine physical problems and provide baseline for planning care
What is a key nursing intervention to help clients with physical complaints identify connections between anxiety and physical symptoms?
Encourage the client to keep a diary of stresses and symptoms to identify relationships
What should nurses do if physical complaints dominate the conversation with a client?
Withdraw attention from physical complaints
What is the recommended approach to managing physical complaints in clients?
Encourage nonchemical methods of pain relief and stress management
What is the purpose of allowing the client a specific time limit to discuss physical complaints?
To limit the dominance of physical complaints in the conversation
What is the role of nursing assessment in dealing with physical complaints?
To provide baseline for planning care
What is the initial nursing assessment for dealing with physical complaints?
Physical assessment, history of previous complaints, and consideration of each current complaint are required
When should the client be referred to medical staff for assessment and treatment?
For new complaints
What is the role of nursing staff in collaboration with medical staff?
To limit medications and treatments available to the client
How should nursing staff handle physical complaints dominating the conversation?
Withdraw attention from physical complaints
What should nursing staff encourage the client to do in relation to stress management?
Encourage nonchemical methods of pain relief and stress management
What should nursing staff help the client identify in relation to physical symptoms?
Connections between stress and physical symptoms
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
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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