Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis
Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis
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Chapter 12: Somatoform Disorders and Dissociative Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Readily seek psychiatric counseling. |
| b. | Be resistant to accepting psychiatric help. |
| c. | Attend psychotherapy sessions without encouragement. |
| d. | Be eager to discover the true reasons for physical symptoms. |
ANS: B
Patients with somatic system disorders go from physician to physician trying to establish a physical cause for their symptoms. When a psychologic basis is suggested and a referral for counseling is offered, these patients reject both.
DIF: Cognitive Level: Application REF: Page: 191 TOP: Nursing Process: Planning
MSC: NCLEX: Psychosocial Integrity
| a. | suppressing accurate feelings regarding the problem. |
| b. | relieving anxiety through the physical symptom. |
| c. | meeting needs through hospitalization. |
| d. | refusing to disclose genuine fears. |
ANS: B
Psychoanalytic theory suggests conversion reduces anxiety through the production of a physical symptom that is symbolically linked to an underlying conflict. Conversion, not suppression, is the operative defense mechanism in this disorder. The other distracters oversimplify the dynamics, suggesting that only dependency needs are of concern, or suggest conscious motivation (conversion operates unconsciously).
DIF: Cognitive Level: Application REF: Pages: 193-196
TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity
| a. | establish a “buddy” system with other patients who can feed the patient at each meal. |
| b. | expect the patient to feed him- or herself after explaining the arrangement of the food on the tray. |
| c. | direct the patient to locate items on the tray independently and feed self unassisted. |
| d. | address the needs of other patients in the dining room, and then feed this patient. |
ANS: B
The patient is expected to maintain some level of independence by feeding him- or herself, whereas the nurse is supportive in a matter-of-fact way. The distracters support dependency or offer little support.
DIF: Cognitive Level: Application REF: Page: 196|Pages: 198-199
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | Social isolation |
| b. | Chronic low self-esteem |
| c. | Interrupted family processes |
| d. | Ineffective health maintenance |
ANS: B
The patient mentions that the symptoms make people more interested, which indicates that the patient believes he or she is uninteresting and unpopular without the symptoms, thus supporting the nursing diagnosis of Chronic low self-esteem. Defining characteristics for the other nursing diagnoses are not present in this scenario.
DIF: Cognitive Level: Analysis REF: Page: 197
TOP: Nursing Process: Diagnosis| Nursing Process: Analysis
MSC: NCLEX: Psychosocial Integrity
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