To plan effective care for clients with somatoform disorders, the ...

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To plan effective care for clients with somatoform disorders, the nurse must understand that the
  clients may have difficulty giving up the symptoms because they
 
  a. are generally ego dystonic.
  b. can be voluntarily controlled.
  c. provide relief of anxiety.
  d. have a physiological basis.

Question 2

A is a 55-year-old retiree who volunteers 5 days a week helping with Meals on Wheels, coaching
  teen sports, and doing church visitation. B is a 58-year-old retiree who laughs at A and says, I'm
  too busy taking care of myself to volunteer.
 
  I don't care much about doing good for others.. These
  behaviors can be assessed as showing the difference between
  a. trust and mistrust.
  b. industry and inferiority.
  c. intimacy and isolation.
  d. generativity and self-absorption.

[sailorcrescent]

Answer to Question 1

ANS: C
At the unconscious level, the client's primary gain from the symptoms is anxiety relief. Considering
that the symptoms actually make the client more psychologically comfortable and may also provide
secondary gain, clients frequently fiercely cling to the symptoms. Option A: The symptoms tend to
be ego syntonic. Option B: The symptoms are not under voluntary control. Option D: The symptoms
are not physiologically based.

Answer to Question 2

ANS: D
Both men are in middle adulthood, when the developmental crisis to be resolved is generativity
versus self-absorption. A exemplifies generativity; B embodies self-absorption. Option A: This
developmental crisis would show a contrast between relating to others in a trusting fashion or being
suspicious and lacking trust. Option B: Failure to negotiate this developmental crisis would result in
a sense of inferiority or difficulty learning and working as opposed to the ability to work
competently. Option C: Behaviors that would be contrasted would be emotional isolation and the
ability to love and commit oneself.

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TYSM

[cam1229]

Gracias!