Which client statement would lead the nurse to suspect that the ...

[skymedlock]

Which client statement would lead the nurse to suspect that the developmental task of infancy was
  not successfully completed by the client?
 
  a. Andy and I are very warm and close friends..
  b. I'm afraid to allow anyone to really get to know me..
  c. I'm always absolutely right, so don't bother saying more..
  d. I'm so ashamed because I didn't do it correctly in the first place..

Question 2

To best assist a client with a somatoform disorder, a nursing intervention of high priority that should
  be planned is
 
  a. shift focus from somatic symptoms to feelings.
  b. imply that somatic symptoms are not real.
  c. help client suppress feelings of anger.
  d. investigate each physical symptom as it is offered.

[cupcake16]

Answer to Question 1

ANS: B
According to Erikson the developmental task of infancy is the development of trust. Option B is the
only statement clearly showing lack of ability to trust others. Option A suggests the developmental
task of infancy was successfully completed. Option C suggests rigidity rather than mistrust. Option
D suggests failure to resolve the crisis of initiative versus guilt.

Answer to Question 2

ANS: A
Shifting the focus from somatic symptoms to feelings or to neutral topics conveys interest in the
client as a person rather than as a condition. The need to gain attention with the use of symptoms is
reduced over the long term. Option B destroys trust. Option C: A desired outcome would be that
client would express feelings, including anger if it is present. Option D: Once physical symptoms
have been investigated, they do not need to be reinvestigated each time the client reports them.