A client presents to the community clinic describing abdominal pain, refuses to complete informational forms, and dismisses the nurse's assessment attempts while demanding to be seen immediately by a doctor
Which approach would be best for the nurse to use when assessing for somatoform disorders? 1. Realize client judgment is intact.
2. Avoid personalizing the behavior by recognizing that somatization is part of the illness.
3. Have sympathy for the psychopathology of the disorder.
4. Expect the client to respond appropriately to the nurse's need to complete the assessment.
2
Rationale: The best approach is to avoid personalizing the behavior by recognizing that somatization is part of the illness. The nurse should have empathy, not sympathy for the psychopathology of the disorder. Given the self-absorption common to this disorder, it may be unrealistic to expect the client to respond appropriately to the nurse's need to complete the assessment. With this disorder, client judgment is impaired.
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