To plan effective care for clients with somatoform disorders, the nurse must understand that the
clients may have difficulty giving up the symptoms because they
a. are generally ego dystonic.
b. can be voluntarily controlled.
c. provide relief of anxiety.
d. have a physiological basis.
ANS: C
At the unconscious level, the client's primary gain from the symptoms is anxiety relief. Considering
that the symptoms actually make the client more psychologically comfortable and may also provide
secondary gain, clients frequently fiercely cling to the symptoms. Option A: The symptoms tend to
be ego syntonic. Option B: The symptoms are not under voluntary control. Option D: The symptoms
are not physiologically based.
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Your patient informs you that she would like to stop his two-pack-a-day cigarette habit but has heard complaints about the clinic's antismoking program. Which of the following would be an appropriate response?
a. "Why do you smoke that much?" b. "What a good idea, I'm sure that the clinic's program will help you." c. "Tell me more about your concerns about stopping smoking." d. "Try the support group for smokers instead; it has had great success in helping people stop smoking."
A score of 52 on the Barthel Index indicates which of the following?
A) Patient has minimal dementia. B) Patient's respiratory effort is compromised. C) Patient has decreased ROM. D) Patient needs assistance with activities of daily living (ADLs).
Which is the causative agent of scarlet fever?
a. Enteroviruses b. Corynebacterium organisms c. Scarlet fever virus d. Group A ?-hemolytic streptococci (GABHS)
Promptly use waterless hand cleaner if your hands become visibly soiled.
Answer the following statement true (T) or false (F)