The nurse assessing a client with a somatoform disorder is most likely to note that the client
a. readily sees a relation between symptoms and interpersonal conflicts.
b. rarely derives personal benefit from the symptoms.
c. has little difficulty communicating emotional needs.
d. has altered comfort and activity needs.
ANS: D
The client frequently has altered comfort and activity needs associated with the symptoms he or she
displays (fatigue, insomnia, weakness, tension, pain, etc.). In addition, hygiene, safety, and security
needs may also be compromised. Option A: The client is rarely able to see a relation between
symptoms and events in his or her life, which is readily discernable to health professionals. Option
B: Clients with somatoform disorders often derive secondary gain from their symptoms. Option C:
Clients with somatoform disorders have considerable difficulty identifying feelings and conveying
emotional needs to others.
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