Psychiatric Mental Health Nursing by Videbeck

Chapter Study Guide

477

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➤ MULTIPLE-CHOICE QUESTIONS

Select the best answer for each of the following
questions.

1. The nurse is caring for a client with a conversion
   disorder. Which of the following assessments
   will the nurse expect to see?
   A. Extreme distress over the physical symptom
   B. Indifference about the physical symptom
   C. Labile mood
   D. Multiple physical complaints.


2. Which of the following statements would indi-
   cate that teaching about somatization disorder
   has been effective?

A. “The doctor believes I am faking my symp-

toms.”

B. “If I try harder to control my symptoms, I will

feel better.”

C. “I will feel better when I begin handling

stress more effectively.”

D. “Nothing will help me feel better physically.”

3. Paroxetine (Paxil) has been prescribed for a client
   with a somatoform disorder. The nurse instructs
   the client to watch for which of the following side
   effects?

A. Constipation

B. Increased appetite

C. Increased flatulence

D. Nausea

4. Emotion-focused coping strategies are designed
   to accomplish which of the following outcomes?

A. Helping the client manage difficult situations

more effectively

B. Helping the client manage the intensity of

symptoms

C. Teaching the client the relationship between

stress and physical symptoms

D. Relieving the client’s physical symptoms.

5. Which of the following is true about clients with
   hypochondriasis?
   A. They may interpret normal body sensations
   as signs of disease.
   B. They often exaggerate or fabricate physical
   symptoms for attention.
   C. They do not show signs of distress about their
   physical symptoms.
   D. All of the above are true statements.


6. The client’s family asks the nurse “What is
   hypochondriasis?” The best response by the
   nurse is “Hypochondriasis is
   A. A persistent preoccupation with getting a se-
   rious disease.”
   B. An illness not fully explained by a diagnosed
   medical condition.”
   C. Characterized by a variety of symptoms over
   a number of years.”
   D. The eventual result of excessive worrying
   about diseases.”


7. A client with somatization disorder has been at-
   tending group therapy. Which of the following
   statements indicates that therapy is having a
   positive outcome for this client?
   A. “I feel better physically just from getting a
   chance to talk.”
   B. “I haven’t said much, but I get a lot from lis-
   tening to others.”
   C. “I shouldn’t complain too much; my problems
   aren’t as bad as others.”
   D. “The other people in this group have emo-
   tional problems.”


8. A client who developed numbness in the right
   hand could not play the piano at a scheduled
   recital. The consequence of the symptom, not
   having to perform, is best described as
   A. Emotion-focused coping
   B. Phobia
   C. Primary gain
   D. Secondary gain