Unlike psychophysiologic disorder Linda may be best managed with:
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Solution
stress management techniques
Stress management techniques is the best management of somatoform disorder because the disorder is related to stress and it does not have a medical basis. Option A: This disorder is not supported by organic pathology so no medical regimen is required. Options B and D: Milieu therapy and psychotherapy may be used
Option A: This disorder is not supported by organic pathology so no medical regimen is required.
Options B and D: Milieu therapy and psychotherapy may be used therapeutic modalities but these are not the best.
Malingering is different from somatoform disorder because the former:
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Solution
It is a deliberate effort to handle upsetting events
Malingering is a conscious simulation of an illness while somatoform disorder occurs unconsciously.
Option A: Both disorders do not have an organic or structural basis.
Option C: Both have primary gains.
Option D: This is a characteristic of the somatoform disorder.
Nikki reveals that the boyfriend has been pressuring her to engage in premarital sex. The most therapeutic response by the nurse is:
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Solution
“How do you feel about being pressured into sex by your boyfriend?”
Focusing on the expression of feelings is therapeutic. The central force of the client’s condition is anxiety.
Option A: This is not therapeutic because the nurse passes the responsibility to the counselor.
Option B: Giving advice is not therapeutic.
Option C: This is not therapeutic because it confronts the underlying cause.
Situation: A 20-year-old college student is admitted to the medical ward because of sudden onset of paralysis of both legs. Extensive examination revealed no physical basis for the complaint. The nurse plans intervention based on which correct statement about conversion disorder?
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Solution
The conversion symptom has symbolic meaning to the client
the client uses body symptoms to relieve anxiety.
Option A: The condition occurs unconsciously.
Option B: The client is not distressed by the lost or altered body function.
Option D: The client should not be confronted by the underlying cause of his condition because this can aggravate the client’s anxiety.
Which of the following should be included in the health teachings among clients receiving Valium:
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Solution
Avoid taking CNS depressant like alcohol.
Valium is a CNS depressant. Taking it with other CNS depressants like alcohol; potentiates its effect.
Option B: The client should be taught to avoid activities that require alertness.
Option C: Valium causes dry mouth so the client must increase her fluid intake.
Option D: Stimulants must not be taken by the client because it can decrease the effect of Valium.
Which is the desired outcome in conducting desensitization:
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Solution
The client will be able to overcome his disabling fear.
The client will overcome his disabling fear by gradual exposure to the feared object.
Options A, B, and C are not the desired outcome of desensitization.
The nurse develops a countertransference reaction. This is evidenced by:
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Solution
Revealing personal information to the client
Countertransference is an emotional reaction of the nurse on the client based on her unconscious needs and conflicts.
Options B and C: These are therapeutic approaches.
Option D: This is transference reaction where a client has an emotional reaction towards the nurse based on her past.
Initial intervention for the client should be to:
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Solution
Accept her fears without criticizing.
The client cannot control her fears although the client knows it’s silly and can joke about it.
Option A: Allow expression of the client’s fears but he should focus on other productive activities as well.
Options B and C: These are not the initial interventions.
Situation: A 35-year-old male has an intense fear of riding an elevator. He claims “ As if I will die inside.” This has affected his studies The client is suffering from:
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Solution
Claustrophobia
Claustrophobia is fear of closed space.
Option A: Agoraphobia is fear of open space or being a situation where escape is difficult.
Option B: Social phobia is fear of performing in the presence of others in a way that will be humiliating or embarrassing.
Option D: Xenophobia is fear of strangers.
In the management of bulimic patients, the following nursing interventions will promote a therapeutic relationship EXCEPT:
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Solution
Discuss their eating behavior.
The client is often ashamed of her eating behavior. Discussion should focus on feelings.
Options A, C, and D promote a therapeutic relationship