While a nurse is collecting medical history, the client says, "I was diagnosed with a spastic colon." How should the nurse interpret this statement?
1. The client has ulcerative colitis.
2. The client has had recurrent abdominal pain for at least 3 months.
3. The client has irritable bowel syndrome.
4. The client's disease is psychosomatic.
5. The client has Crohn's disease.
2,3
Rationale 1: Typically, the diagnosis of spastic colon is not the same as ulcerative colitis.
Rationale 2: The diagnostic criterion for this disorder is recurrent abdominal pain for at least 3 days per month during the previous 3 months.
Rationale 3: Irritable bowel syndrome is also known as spastic colon.
Rationale 4: While there is often no organic disease found in this disorder, the pain and other findings are real.
Rationale 5: Irritable bowel syndrome is not the same as Crohn's disease.
Global Rationale: Irritable bowel syndrome is also known as spastic colon. The diagnostic criterion for this disorder is recurrent abdominal pain for at least 3 days per month during the previous 3 months. Typically, the diagnosis of spastic colon is not the same as ulcerative colitis. While there is often no organic disease found in this disorder, the pain and other findings are real. Irritable bowel syndrome is not the same as Crohn's disease.
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