A nurse assesses a patient suspected of having somatic symptom disorder. Which assessment findings regarding this patient support the suspected diagnosis? Select all that apply
a. Female
b. Reports frequent syncope
c. Rates pain as "1" on a scale of "10"
d. First diagnosed with psoriasis at age 12
e. Reports insomnia often results from back pain
ANS: A, B, E
There is no chronic disease to explain the symptoms for patients with somatic symptom disorder. Patients report multiple symptoms; gastrointestinal and pseudoneurological symptoms are common. This disorder is more common in women than in men. Patients with conversion disorder would have a tendency to underrate pain.
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