While a nurse is collecting medical history the client says, "I was diagnosed with a spastic colon." How should the nurse interpret this statement?
1. The client has ulcerative colitis.
2. The client has had recurrent abdominal pain for at least 3 months.
3. The client has irritable bowel syndrome.
4. The client's disease is psychosomatic.
5. The client has Crohn's disease.
Correct Answer: 2,3
Rationale 1: Typically, the diagnosis of spastic colon is not the same as ulcerative colitis.
Rationale 2: The diagnostic criterion for this disorder is recurrent abdominal pain for at least 3 days per month during the previous 3 months.
Rationale 3: Irritable bowel syndrome is also known as spastic colon.
Rationale 4: While there is often no organic disease found in this disorder, the pain and other findings are real.
Rationale 5: Irritable bowel syndrome is not the same as Crohn's disease.
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