Which nursing assessment finding would support a diagnosis of somatoform disorder?
a. Patient reports a family history of depression
b. The onset of symptoms beginning at age 38
c. An abnormality of the patient's left heart ventricle
d. Complaints of diarrhea and an erratic menstrual cycle
ANS: D
The diagnosis of somatization disorder requires that symptoms indicate there is involvement of multiple organ systems (e.g., gastrointestinal, reproductive, neurologic). Structural anoma-lies would indicate a medical problem exists. An early onset of symptoms (prior to age 30) is not recognized as a criterion for the diagnosis. A family history of depression is not a criteri-on for the diagnosis.
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