Mental: Ch 21 Somatic Symptom Disorders Exam
Questions and Answers with complete solution
Which medication classification has been shown to be effective in some cases of
somatoform disorders?
A) Antibiotics
B) Antipsychotics
C) Antimanics
D) Serotonin reuptake inhibitors (SSRIs)
D) Serotonin reuptake inhibitors (SSRIs)
A nurse is preparing a plan of care for a client diagnosed with body dysmorphic
disorder. Which nursing diagnosis would the nurse likely identify as the priority?
A) Disturbed body image
B) Ineffective coping
C) Low self-esteem
D) Risk for other-directed violence
A) Disturbed body image
Over the past 5 years, a client has had two exploratory surgeries and numerous
examinations for severe abdominal pain. All diagnostic and laboratory results have been
negative for organic problems. The client has had vague descriptions of periods of
anxiety and depression and has continued to seek medical assistance for the abdominal
pain and various other physical problems. The nurse would assess this client as using
which defense mechanism?
A) Displacement
B) Repression
C) Somatization
D) Dissociation
C) Somatization
The nurse is seeing a an adolescent client who has attended the clinic frequently with
vague reports of abdominal pain. Despite normal blood values, stool tests, and
diagnotic imaging of the abdomen, the client continues to report symptoms. Which
psychological factor may be contributing to the client's problem?
A) The client is the head of the school debate team.
B) The client is fearful of needles.
C) The client's parents are considering getting divorced.
D) The client recently received a low mark on an exam.
C) The client's parents are considering getting divorced.
Somatic symptom illness disorders are characterized by what?
A) Severe physical symptoms that cannot be explained by any organic or physical
pathology
, B) Self-inflicted injuries
C) Self-induced disease states or faked symptoms to garner attention
D) Physical symptoms coupled with extreme focus on emotional state
A) Severe physical symptoms that cannot be explained by any organic or physical
pathology
Which mental health disorder is characterized by a fear of developing a serious illness
based on a misinterpretation of body sensation?
A) Alexithymia
B) Hypochondriasis
C) Conversion disorder
D) Body dysmorphic disorder
B) Hypochondriasis
Which best describes the concept of somatization?
A) Manifestation of physical symptoms from psychological distress
B) Psychological origin of illness that is not real
C) Symptoms that cannot be substantiated by physicians
D) Physical symptoms that are all in one's head
A) Manifestation of physical symptoms from psychological distress
Which statement by the client indicates an understanding of somatic symptom disorder?
A) "Taking medication won't help my pain since it's caused by stress."
B) "How I handle stress and emotions can affect my physical health."
C) "I have to avoid stress all my life to avoid getting sick again."
D) "As soon as my symptoms go away, I'll be my old self again."
B) "How I handle stress and emotions can affect my physical health."
When describing the major difference between somatic symptom disorder and factitious
disorders, which would the nurse include?
A) In somatic symptom disorder, clients consciously seek attention.
B) In somatic symptom disorder, clients are not consciously aware that needs are being
met through physical complaints.
C) Factitious disorders respond much more readily to psychopharmacologic treatment
than does somatic symptom disorder.
D) In factitious disorders, clients are unaware that their symptoms are not real.
B) In somatic symptom disorder, clients are not consciously aware that needs are being
met through physical complaints.
A client is admitted to a mental health unit with a diagnosis of factitious disorder. When
reviewing the client's history, which would a nurse most likely find?
A) Parents who were restrictive
B) Malingering to avoid work
C) Pain to achieve a self-serving goal
D) Intentional self-injurious behavior
D) Intentional self-injurious behavior
Questions and Answers with complete solution
Which medication classification has been shown to be effective in some cases of
somatoform disorders?
A) Antibiotics
B) Antipsychotics
C) Antimanics
D) Serotonin reuptake inhibitors (SSRIs)
D) Serotonin reuptake inhibitors (SSRIs)
A nurse is preparing a plan of care for a client diagnosed with body dysmorphic
disorder. Which nursing diagnosis would the nurse likely identify as the priority?
A) Disturbed body image
B) Ineffective coping
C) Low self-esteem
D) Risk for other-directed violence
A) Disturbed body image
Over the past 5 years, a client has had two exploratory surgeries and numerous
examinations for severe abdominal pain. All diagnostic and laboratory results have been
negative for organic problems. The client has had vague descriptions of periods of
anxiety and depression and has continued to seek medical assistance for the abdominal
pain and various other physical problems. The nurse would assess this client as using
which defense mechanism?
A) Displacement
B) Repression
C) Somatization
D) Dissociation
C) Somatization
The nurse is seeing a an adolescent client who has attended the clinic frequently with
vague reports of abdominal pain. Despite normal blood values, stool tests, and
diagnotic imaging of the abdomen, the client continues to report symptoms. Which
psychological factor may be contributing to the client's problem?
A) The client is the head of the school debate team.
B) The client is fearful of needles.
C) The client's parents are considering getting divorced.
D) The client recently received a low mark on an exam.
C) The client's parents are considering getting divorced.
Somatic symptom illness disorders are characterized by what?
A) Severe physical symptoms that cannot be explained by any organic or physical
pathology
, B) Self-inflicted injuries
C) Self-induced disease states or faked symptoms to garner attention
D) Physical symptoms coupled with extreme focus on emotional state
A) Severe physical symptoms that cannot be explained by any organic or physical
pathology
Which mental health disorder is characterized by a fear of developing a serious illness
based on a misinterpretation of body sensation?
A) Alexithymia
B) Hypochondriasis
C) Conversion disorder
D) Body dysmorphic disorder
B) Hypochondriasis
Which best describes the concept of somatization?
A) Manifestation of physical symptoms from psychological distress
B) Psychological origin of illness that is not real
C) Symptoms that cannot be substantiated by physicians
D) Physical symptoms that are all in one's head
A) Manifestation of physical symptoms from psychological distress
Which statement by the client indicates an understanding of somatic symptom disorder?
A) "Taking medication won't help my pain since it's caused by stress."
B) "How I handle stress and emotions can affect my physical health."
C) "I have to avoid stress all my life to avoid getting sick again."
D) "As soon as my symptoms go away, I'll be my old self again."
B) "How I handle stress and emotions can affect my physical health."
When describing the major difference between somatic symptom disorder and factitious
disorders, which would the nurse include?
A) In somatic symptom disorder, clients consciously seek attention.
B) In somatic symptom disorder, clients are not consciously aware that needs are being
met through physical complaints.
C) Factitious disorders respond much more readily to psychopharmacologic treatment
than does somatic symptom disorder.
D) In factitious disorders, clients are unaware that their symptoms are not real.
B) In somatic symptom disorder, clients are not consciously aware that needs are being
met through physical complaints.
A client is admitted to a mental health unit with a diagnosis of factitious disorder. When
reviewing the client's history, which would a nurse most likely find?
A) Parents who were restrictive
B) Malingering to avoid work
C) Pain to achieve a self-serving goal
D) Intentional self-injurious behavior
D) Intentional self-injurious behavior
