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Homework answers / question archive / Chapter 30: Somatoform and Disassociative Disorders Multiple Choice Identify the choice that best completes the statement or answers the question
Chapter 30: Somatoform and Disassociative Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1) A client diagnosed with somatization disorder is most likely to exhibit which personality disorder characteristic?
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A. |
Experiences intense and chaotic relationships with fluctuating attitudes toward others |
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B. |
Socially irresponsible, exploitative, guiltless, and disregards rights of others |
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C. |
Self-dramatizing, attention seeking, overly gregarious, and seductive |
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D. |
Uncomfortable in social situations, perceived as timid, withdrawn, cold, and strange |
____ 2. A nurse is working with a client diagnosed with somatoform pain disorder. What predominant symptoms should a nurse expect to assess?
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A. |
The client’s predominant symptom focuses on discomfort in one or more anatomical sites. |
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B. |
The client’s predominant symptom affects voluntary motor or sensory functioning. |
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C. |
The client’s predominant symptom is the belief that the body is deformed or defective. |
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D. |
The client’s predominant symptom is the preoccupation and fear of having a serious disease. |
____ 3. Which would be considered an appropriate outcome when planning care for an inpatient client diagnosed with somatization disorder?
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A. |
The client will admit to fabricating physical symptoms to gain benefits by day 3. |
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B. |
The client will list three potential adaptive coping strategies to deal with stress by day 2. |
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C. |
The client will comply with medical treatments for physical symptoms by day 3. |
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D. |
The client will openly discuss physical symptoms with staff by day 4. |
____ 4. Which are examples of primary and secondary gains that clients diagnosed with somatoform pain disorders may experience?
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A. |
Primary: chooses to seek a new doctor; secondary: euphoric feeling from new medications |
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B. |
Primary: euphoric feeling from new medications; secondary: chooses to seek a new doctor |
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C. |
Primary: receives get-well messages; secondary: pain prevents attendance at family reunion |
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D. |
Primary: pain prevents attendance at family reunion; secondary: receives get-well messages |
____ 5. A nursing instructor is teaching about the etiology of hypochondriasis from a psychoanalytical perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred?
|
A. |
“They express personal worthlessness through physical symptoms because physical problems are more acceptable than psychological problems.” |
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B. |
“When the sick role relieves them from stressful situations, their physical symptoms are reinforced.” |
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C. |
“They misinterpret and cognitively distort their physical symptoms.” |
|
D. |
“They tend to have a familial predisposition to this disorder.” |
____ 6. An inpatient client is newly diagnosed with dissociative identity disorder (DID) stemming for severe childhood sexual abuse. Which nursing intervention takes priority?
|
A. |
Encourage exploration of sexual abuse |
|
B. |
Encourage guided imagery |
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C. |
Establish trust and rapport |
|
D. |
Administer antianxiety medications |
____ 7. A client diagnosed with dissociative identity disorder (DID) switches personalities when confronted with destructive behavior. The nurse recognizes that this dissociation serves which function?
|
A. |
It is a means to attain secondary gain. |
|
B. |
It is a means to explore feelings of excessive and inappropriate guilt. |
|
C. |
It serves to isolate painful events so that the primary self is protected. |
|
D. |
It serves to establish personality boundaries and limit inappropriate impulses. |
____ 8. A client is diagnosed with dissociative identity disorder (DID). What is the primary goal of therapy for this client?
|
A. |
To recover memories and improve thinking patterns |
|
B. |
To prevent social isolation |
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C. |
To decrease anxiety and need for secondary gain |
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D. |
To collaborate among subpersonalities to improve functioning |
____ 9. What symptom differentiates dissociative fugue from dissociative amnesia?
|
A. |
Clients diagnosed with dissociative fugue experience symptoms that are precipitated by extreme stress, and clients diagnosed with dissociative amnesia do not. |
|
B. |
Clients diagnosed with dissociative fugue are unaware of their memory loss, whereas clients diagnosed with dissociative amnesia are aware of their forgetfulness. |
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C. |
Clients diagnosed with dissociative amnesia assume a new identity, and clients diagnosed with dissociative fugue do not. |
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D. |
Clients diagnosed with dissociative amnesia usually recover completely, whereas clients diagnosed with dissociative fugue display residual effects. |
____ 10. Which should the nurse recognize as an example of systematized amnesia?
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A. |
A client cannot relate any lifetime memories, including personal identity. |
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B. |
A client can relate family memories but has no recollection of a particular brother. |
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C. |
A client cannot remember events surrounding a fatal car accident. |
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D. |
A client whose home was destroyed by a tornado only remembers waking up in the hospital. |
____ 11. Neurological tests have ruled out pathology in a client’s sudden lower-extremity paralysis. Which nursing care should be included for this client?
|
A. |
Deal with physical symptoms in a detached manner. |
|
B. |
Challenge the validity of physical symptoms. |
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C. |
Meet dependency needs until the physical limitations subside. |
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D. |
Encourage a discussion of feelings about the lower-extremity problem. |
____ 12. Which symptom exhibited by a client diagnosed with a conversion disorder would predict the poorest prognosis?
|
A. |
Seizures |
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B. |
Blindness |
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C. |
Aphonia |
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D. |
Paralysis |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 13. A client is diagnosed with hypochondriasis. Which of the following symptoms is the client most likely to exhibit? (Select all that apply.)
|
A. |
Obsessive-compulsive traits |
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B. |
Pseudocyesis |
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C. |
Anxiety |
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D. |
Flat affect |
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E. |
Depression |
____ 14. A client is exhibiting symptoms of generalized amnesia. Which of the following questions should the nurse ask to confirm this diagnosis? (Select all that apply.)
|
A. |
“Have you taken any new medications recently?” |
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B. |
“Have you recently traveled away from home?” |
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C. |
“Have you recently experienced any traumatic event?” |
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D. |
“Have you ever felt detached from your environment?” |
|
E. |
“Have you had any history of memory problems?” |
____ 15. Which of the following combinations of somatoform disorder diagnoses and appropriate pharmacological treatment are correctly matched? (Select all that apply.)
|
A. |
Pain disorder treated with venlafaxine (Effexor) |
|
B. |
Hypochondriasis treated with cefadroxil (Duricef) |
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C. |
Conversion disorder treated with cyclobenzaprine (Flexeril) |
|
D. |
Body dysmorphic disorder treated with clomipramine (Anafranil) |
|
E. |
Depersonalization treated with mometasone (Elocom) |
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