Rle Quiz Finals

Question 1

13. Which intervention would the nurse include in the
    care plan for a patient with hypochondriasis?
    A. Engage the patient in conversation that focuses
    on physical symptoms
    B. Challenge the patient beliefs about the pain
    C. Respond to the patient complaints in a matter of
    fact manner
    D. Administer antipsychotic agents to control the
    patients delusion about her symptoms

Answer 1

C. Respond to the patient complaints in a matter of
fact manner

Question 2

12. A patient states “ Look at this scar, its so huge and so
    horrible. How can I ever go out in public again? Everyone
    Will think I’m a freak. Based on this finding the nurse will
    suspect
    A. Body dysmorphic disorder
    B. Conversion disorder
    C. Hypochondriasis
    D. Somatization

Answer 2

A. Body dysmorphic disorder

Question 3

11. The nurse correctly interprets manifestation of
    physical symptoms of psychological distress as
    indicative of which disorder?
    A. Pain disorder
    B. Somatization disorder
    C. Conversion disorders
    D. Münchausen syndrome

Answer 3

B. Somatization disorder

Question 4

9. Misinterpretation of bodily symptoms is a
   chief feature of?
   A. Body dysmorphic disorder
   B. Somatoform disorder
   C. Conversion disorder
   D. Hypochondriasis

Answer 4

Hypochondriasis

Question 5

Theclient with conversion disorder has a paralyzed arm,
He had an affair and neglected her baby’s care to the point that had to be hospitalized by dehydration which of the following responses by the nurse is best?

“Ignore the client’s behaviors and treat her
with respect,

“Pushing insight will increase
the client’s anxiety and physical symptoms

“Pushing awareness will be helpful and further the clien
recovery

We’ll meet with the client and confront her with

Answer 5

“Pushing insight will increase
the client’s anxiety and physical symptoms

Question 6

Lorena, a college student who frequently visited the health
center during the past year with multiple vague complainis
of Gl symptoms before course examinations. Although
physical causes have been eliminated, the student
continues to express her belief that she has a serious
illness. These symptoms are typically of which of the
following disorders?
A. Conversion disorder.
B. Depersonalization.
C. Hypochondriasis.
D. Somatization disorder.

Answer 6

Hypochondriasis

Question 7

Mr C..with a somatoform pain disorder may obtain secondary gain . Which of the following statement is a secondary gain

Answer 7

D. It promotes emotional support or attention for the client.

Question 8

5 During a community visit, volunteer nurses teach
stress management to the participants. The nurses will
most likely advocate which belief as a method of coping
with stressful life events?
A. Avoidance of stress is an important goal for liv;
B. Control over one’s response to stress is possible
C. Most people have no control over their level d
stress.
D. Significant others are important to provide car
and concern.

Answer 8

B. Control over one’s response to stress is possible

Question 9

6. At 10 a.m. a client with an Axis I diagnosis of pain
   disorder demands that the nurse call the physician for
   more pain medication because she is still in pain after the
   9 o’clock a.m. analgesic. Which of the following should
   the nurse do first?
   A. Call the physician as the client requests.

B. Suggest the client to lie down because sht
has to wait for the pay dosage.

C. Inform the client tha
wurse cannot
her additional medi,

D. Tell the client that the physician
later to talk to her about it.

Answer 9

D. Tell the client that the physician
later to talk to her about it.

Question 10

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Answer 10

1. C. Hypochondriasis
2. D. It promotes emotional support or attention for the client.
3. A. Acknowledge that the complaints are real to the client, and refocus the client on
   other concerns and problems
4. D. Mrs. Cortez verbalizes anxiety directly rather than displacing it
5. B. Control over one’s response to stress is possible.

6.D. Tell the client that the physician will be in later to talk to her about it

7C. Invite the client to lunch and accompany him to the dining room.

8.B. “Pushing insight will increase the client’s anxiety and the need for physical
symptoms.”

9.D. Hypochondriasis

10. B. 1, 2,3
11. B. Somatization disorder
12. A. Body dysmorphic disorder
13. C. Respond to the patient complaints in a matter of fact manner

14.B. Directing the client to describe his feelings about his impending divorce.

15. D. Redirect the interaction back to fishing