The nurse has concluded the assessment of a client recently diagnosed with undifferentiated somatoform disorder
The client states her most significant source of stress is the fact that "no one believes how sick I am" despite her varied physical complaints. Based on these data, the most appropriate nursing diagnosis is which of the following?
A) Anxiety related to chronicity of symptoms as evidenced by dependency
B) Ineffective Coping related to unresolved psychological issues as evidenced by inability to express feelings verbally
C) Chronic Low Self-esteem related to physical symptoms that inhibit the client's daily functioning
D) Risk for Spiritual Distress related to feelings of isolation
Ans: B
Feedback:
Nursing diagnoses for clients with somatoform disorders focus on identifying the causes of dysfunctional coping and issues related to the family and psychosocial interaction. Anxiety, low self-esteem, and distress are plausible but are not directly suggested by the scenario.
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