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Author Question: Which of the following areas would be more relevant to the assessment of a client with somatoform ... (Read 21 times)

altibaby

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on: Jul 19, 2018
Which of the following areas would be more relevant to the assessment of a client with somatoform
  disorder than for a client with dissociative disorder?
 
  a. Voluntary control of symptoms
  b. Ability to perform self-care activities
  c. Effect of symptoms on family processes
  d. Use of alcohol, psychoactive drugs, and prescription anxiolytics

Question 2

The nurse caring for the client with a paranoid personality disorder tells the advanced practice nurse
  I tried being caring and nurturing, but the client just kept telling me to stay away..
 
  The advanced
  practice nurse can be helpful by advising Clients with paranoid personality disorders respond best
  to
  a. a cynical, joking approach..
  b. interpretation of their behaviors..
  c. a neutral but courteous and concerned manner..
  d. active friendliness, but they require a longer time to establish a relationship than
  you allowed..


Jevvish

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Reply #1 on: Jul 19, 2018
Answer to Question 1

ANS: B
Voluntary control of symptoms is an important feature in differentiating somatoform disorder from
malingering and factitious disorder but is less relevant to the assessment of dissociative symptoms.
The other options should be included in the assessment for both types of disorders.

Answer to Question 2

C
A detached, neutral, straightforward, and courteous approach is most effective. Option A is never
appropriate. Option B would be a counterproductive approach. Option D: A warm, actively pursuant
approach will be interpreted as intrusive and threatening by the suspicious client.


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