Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Somatoform & Sleep Disorders Part 2
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Question 1 |
Which nursing diagnosis is appropriate for a client with conversion disorder who has little energy to expend on activities or interactions with friends?
A | Powerlessness |
B | Hopelessness |
C | Impaired social interaction |
D | Compromised family coping |
Question 2 |
A client with a diagnosis of somatoform disorder has been admitted to the psychiatric unit and has difficulty breathing, numbness, and loss of movement in his left arm. He seems unusually calm and unconcerned about his loss. The nurse recognizes these symptoms as which disorder?
A | Conversion disorder |
B | Hypochondriasis |
C | Body dysmorphic disorder |
D | Pain disorder |
Question 3 |
A client with somatoform disorder states that her frequent headaches result from a brain tumor. However, a tumor hasn’t shown up on diagnostic tests. The nurse interprets the client’s form of somatization as which disorder?
A | Conversion disorder |
B | Pain disorder |
C | Hypochondriasis |
D | Body dysmorphic disorder |
Question 4 |
A home health nurse is caring for a client diagnosed with a conversion disorder manifested by paralysis in the left arm. An organic cause for the deficit has been ruled out. Which nursing intervention is most appropriate for this client?
A | Perform all physical tasks for the client to foster dependence. |
B | Allot an hour each day to discuss the paralysis and its cause. |
C | Identify primary or secondary gains that the physical symptom provides. |
D | Allow the client to withdraw from all physical activities. |
Question 5 |
Which nursing intervention is appropriate for a client diagnosed with a somatoform pain disorder?
A | Reinforce the client’s behavior when it isn’t focused on pain. |
B | Allow the client to verbalize anxieties related to body image. |
C | Allow the client to verbalize relief of fear related to the illness. |
D | Assist the client in recovery of the lost or altered function of a body part. |
Question 6 |
A client with a somatoform pain disorder may obtain primary and secondary gain. Which statement best describes secondary gain?
A | It brings some stability to the family. |
B | It decreases the preoccupation with the physical illness. |
C | It enables the client to avoid some unpleasant activity. |
D | It promotes emotional support or attention for the client. |
Question 7 |
Which initial therapeutic intervention is the most appropriate for a client diagnosed with ineffective coping related to a pain disorder?
A | Make an accurate assessment. |
B | Promote expression of feelings. |
C | Promote insight into the disorder. |
D | Help the client develop alternative coping strategies. |
Question 8 |
Which statement made by a nurse promotes independence in self-care in a client diagnosed with somatoform pain disorder?
A | “I’ll call you for all the group activities.” |
B | “I’ll help you on a daily basis with your care.” |
C | “The staff will help you with your basic needs for today.” |
D | “We’ll wait until you have no more pain before you participate in activities." |
Question 9 |
Based on a nursing diagnosis of ineffective coping for a client with somatoform pain disorder, which nursing goal is most realistic?
A | The client will be free from injury. |
B | The client will recognize sensory impairment. |
C | The client will discuss beliefs about spiritual issues. |
D | The client will verbalize reduction of physical symptoms. |
Question 10 |
Which nursing goal is most appropriate for a client with a pain disorder?
A | The client will express less fear. |
B | The client will increase independence. |
C | The client will express relief from pain. |
D | The client will adapt coping strategies to deal with stress. |
Question 11 |
The nurse is caring for a client who conceals the true motivations for his thoughts, actions, or feelings. The nurse interprets this as:
A | displacement. |
B | rationalization. |
C | regression. |
D | substitution. |
Question 12 |
A nurse is teaching the family of a client diagnosed with a somatoform pain disorder. Which of the following statements by the nurse most accurately describes this disorder?
A | A preoccupation with pain in the absence of physical disease |
B | A physical or somatic complaint without any demonstrable organic findings |
C | A morbid fear or belief that one has a serious disease where none exists |
D | One or more neurological symptoms associated with psychological conflict or need |
Question 13 |
What is the priority nursing diagnosis for a client with hypochondriasisdisorder?
A | Disturbed sensory perception (visual) |
B | Hopelessness |
C | Imbalanced nutrition: Less than body requirements |
D | Risk for other-directed violence |
Question 14 |
Which statement made by a client with a pain disorder shows the nurse that the goal of stress management was attained?
A | “My arm hurts.” |
B | “I enjoy being dependent on others.” |
C | “I don’t really understand why I’m here.” |
D | “My muscles feel relaxed after that progressive relaxation exercise.” |
Question 15 |
Which therapeutic approach would enable a client to cope effectively with life stress without using conversion?
A | Focus on the symptoms. |
B | Ask for clarification of the symptoms. |
C | Listen to the client’s symptoms in a matter-of-fact manner. |
D | Point out that the client’s symptoms are an escape from dealing with conflict. |
Question 16 |
Which nursing intervention is the most appropriate for a client who had pseudoseizures and is diagnosed with conversion disorder?
A | Explain that the pseudoseizures are imaginary. |
B | Promote dependence so that unfilled dependency needs are met. |
C | Encourage the client to discuss his feelings about the pseudoseizures. |
D | Promote independence and withdraw attention from the pseudoseizures. |
Question 17 |
A new client admitted to a psychiatric unit is diagnosed with conversion disorder. The client shows a lack of concern for his sudden paralysis, although his athletic abilities have always been a source of pride to him. The nurse understands that the client is demonstrating:
A | acute dystonia. |
B | la belle indifference. |
C | malingering. |
D | secondary gain |
Question 18 |
A client diagnosed with conversion disorder has a nursing diagnosis of interrupted family processes related to the client’s disability. Which goal is appropriate for this client?
A | The client will resume former roles and tasks. |
B | The client will take over roles of other family members. |
C | The client will rely on family members to meet all client needs. |
D | The client will focus energy on problems occurring in the family. |
Question 19 |
Which nursing diagnosis is most appropriate for a client with somatoform pain disorder?
A | Interrupted family processes |
B | Disturbed body image |
C | Ineffective denial |
D | Ineffective coping |
Question 20 |
Which statement made by a client best meets the diagnostic criteria for pain disorder?
A | “I can’t move my right leg.” |
B | “I’m having severe stomach and leg pain.” |
C | “I’m so afraid I might have human immunodeficiency virus.” |
D | “I’m having chest pain and pain radiating down my left arm that began more than 1 hour ago.” |
Question 21 |
A 26-year-old client is diagnosed with somatoform disorder. What is the most important information for the nurse to provide when discussing the care plan with the client’s wife?
A | “Tell your husband that his symptoms are all in his head to force him to deal with reality.” |
B | “Tell your husband that his symptoms are an attempt to get attention and that you’ll be more attentive.” |
C | “Accept the reality of the symptoms as your husband presents them and don’t dispute them.” |
D | “Realize that your husband is creating the symptoms on purpose.” |
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