To plan effective nursing care for a client with somatization ...

[geoffrey]

To plan effective nursing care for a client with somatization disorder, the nurse should be aware that
  the etiology of somatoform disorders may be related to
 
  a. faulty perceptions and assessments of body sensations.
  b. traumatic memories of childhood events.
  c. culture-bound phenomena.
  d. depressive equivalents.

Question 2

A client, age 56 years, became severely depressed when the last of her six children moved out of the
  home 4 months ago.
 
  Since then she has neglected to care for herself, sleeps poorly, lost weight, and
  repeatedly states No one cares about me anymore. I'm not worth anything.. An inappropriate
  intervention to include in the client's care plan is
  a. observe and record sleep pattern nightly.
  b. weigh weekly and observe eating patterns.
  c. monitor bowel movements daily and evaluate need for laxatives.
  d. provide activities that involve concentration and fine motor skills.

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Answer to Question 1

ANS: A
Structural or functional abnormalities of the brain have been suggested to lead to the somatoform
disorders, resulting in disturbed processes of perception and interpretation of bodily sensations.
Furthermore, cognitive theorists believe clients misinterpret the meaning of certain bodily sensations
and then become excessively alarmed by them. Option B: Traumatic childhood events are related to
the dissociative disorders. Option C: Culture-bound phenomena may explain the prevalence of some
symptoms but cannot explain the cause. Option D: Somatoform disorders are not seen to be another
facet of depression; however, depression may coexist with a somatoform disorders.

Answer to Question 2

D
The activities that should be provided for a severely depressed client call for minimal concentration
and involve gross motor skills rather than fine motor skills. The other interventions related to
physiological integrity are appropriate.

[geoffrey]

TYSM

[Alyson.hiatt@yahoo.com]

Gracias!