Chapter 24, Somatoform, Dissociative, and Sexual Disorders Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

When developing the plan of care for a client with a somatoform disorder, the nurse would expect to focus on which of the following first?
a. Reducing the client's immediate symptoms.
b. Enhancing the client's ability to see connections between emotion and body.
c. Assessing the client for suicidal ideation.
d. Establishing trust in the therapeutic relationship.

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Problem 2

Bob, a man with somatoform disorder, has been in therapy for several weeks. When he arrives for therapy he states, "The pain in my arms and legs has been much worse this week." Which of the following responses will be most therapeutic?
a. "Please tell me more about it."
b. "You're focusing on your body again. Let's move on to another topic. How have you been feeling?”
c. "Good morning, Bob. Are you ready to begin now?"
d. "I notice you look better, though."

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Problem 3

When caring for a client with a dissociative disorder, the nurse understands that a primary objective is to provide a therapeutic milieu. Which of the following milieus would the nurse judge to be most helpful to the client in the early stages of treatment? An environment that stresses
a. Education and job training.
b. Socialization and communication skills.
c. Safety and structured activity.
d. Intensive group therapy.

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Problem 4

A client with DID has a history of pulling out her hair and scratching her face. Which of the following interventions would the nurse implement first?
a. Use mitts to prevent further self-harm.
b. Develop a "no self-harm" contract.
c. Reorient the client to time and place with grounding techniques.
d. Identify stress reduction strategies.

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Problem 5

A 68-year-old male client complains that his erections are less rigid than before and that it takes him longer to achieve an erection. Which of the following responses would be most therapeutic?
a. "What you describe sounds like normal age-related changes. Is this a concern for you?"
b. "Erectile dysfunction is common, but many treatments are available, including drugs or surgery."
c. "Is this causing a problem for your partner?"
d. "That doesn't sound like a problem; it is very common in men your age."

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