The nurse assessing a patient with a somatoform disorder is most likely to note that the patient:
a. rarely derives any personal benefit from the physical symptoms.
b. readily sees a connection between symptoms and unresolved conflicts.
c. usually is able to talk readily about feelings and emotional needs.
d. has alterations in comfort and activities related to physical complaints.
D
The patient with somatoform disorder frequently has altered comfort and activity needs associated with the symptoms experienced (fatigue, insomnia, weakness, tension, pain, etc.). In addition, hygiene, safety, and security needs may also be compromised. Patients with somatoform disorders often derive secondary gain from their symptoms. The patient is rarely able to see a relationship between symptoms and life events, but these are readily discernable to health professionals. Patients with somatoform disorders have considerable difficulty identifying feelings and conveying emotional needs to others.
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A parish nurse is describing the relationships between health and physical fitness to a group of older adults who all attend the same church. What potential benefits of a regular exercise program should the nurse describe? Select all that apply
A) Decreased cholesterol levels B) Delayed degenerative changes C) Improved sensory function D) Improved overall muscle strength E) Increased blood sugar levels
The nurse is caring for an unresponsive patient who has terminal cancer with a Do Not Resuscitate order in effect
A family member tells the nurse, "I'll sue you and every other nurse here if you don't do everything possible to keep her alive." The nurse understands that protection from legal prosecution in this situation is provided by: a. legal immunity granted when acting ac-cording to the patient's expressed wishes. b. the legal view that the duty to put into effect the patient's wishes falls to the physician. c. knowledge of and compliance with facili-ty policies and procedures regarding end-of-life care. d. implementing interventions that preserve the patient's right to self-determination.
A nurse is performing an initial assessment on a new admission. What information should the nurse consider as being a part of the database?
1. Reports from physical therapy the client received as an outpatient 2. Documentation of the nurse's physical assessment 3. Physician's orders 4. A list of current medications 5. Information about the client's cultural preferences 6. Discharge instructions
After completing the initial head-to-toe shift assessment, the nurse determines that no changes are needed in the patient's plan of care. This decision is a result of the nurse's
1. Ensuring that each patient receives a comprehensive health assessment. 2. Evaluating the effectiveness of nursing interventions. 3. Reviewing the organizational plan for the shift. 4. Learning that the patient may be discharged from the hospital during this shift.