To plan effective care for patients with somatoform disorders, the nurse must understand that the patients may have difficulty giving up the symptoms because they:
a. have impaired interpersonal skills.
b. can be voluntarily controlled.
c. provide relief of anxiety.
d. have a physiological basis.
C
At the unconscious level, the patient's primary gain from the symptoms is anxiety relief. Considering that the symptoms actually make the patient more psychologically comfortable and may also provide secondary gain, patients frequently fiercely cling to the symptoms while simultaneously complaining about them. Persons with somatoform disorders do not necessarily have interpersonal deficits and may demonstrate a great deal of interpersonal sophistication. By definition, the symptoms are not under voluntary control and are not physiologically based.
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Based on this data, which disorder does the nurse use when planning care for this client? A) Binge-eating B) Anorexia nervosa C) Bulimia D) Purging disorder
An LPN/LVN is working on a closed (locked) mental health unit. What would his or her responsibilities include?
A) Administering medications and searching client rooms daily B) Observing behaviors and administering medications C) Documenting in the client record and preparing meals D) Interacting with clients and notifying insurance companies
The client coughs out the tracheostomy tube. Which does the nurse implement?
1. Ventilate the client manually. 2. Insert a new tracheostomy tube. 3. Open the stoma with a fingertip. 4. Speak to the client's provider.
The nurse recognizes that which one of the following statements about growth and development is correct?
1. Development ends with adolescence. 2. Growth refers to qualitative events. 3. Developmental tasks are age-related achievements. 4. Cognitive theories focus on emotional development.