Which of the following somatic symptom and dissociative disorders ...

[nramada]

Which of the following somatic symptom and dissociative disorders are identified with known effective pharmacological treatments for that disorder? Select all that apply.
 
  A. Antidepressants have been used effectively in treating pain associated with somatic symptom disorder.
  B. Lithium has been effective in treating illness anxiety disorder.
  C. Muscle relaxants have been effective in resolving conversion disorder symptoms.
  D. The antidepressant clomipramine (Anafranil) has shown promise in treating depersonalization-derealization disorder.

Question 2

A 52-year-old client states, My husband is upset because I don't enjoy sex as much as I used to. Which priority client data should a nurse initially collect?
 
  A. History of hysterectomy
  B. Date of last menstrual cycle
  C. Use of birth control methods
  D. History of thought disorder

[TINA]

Answer to Question 1

ANS: A, D
The nurse should recognize that psychological therapies are central treatment modalities for these disorders, although evidence exists that for specific issues (as those identified in items A and C), psychopharmacologic al agents have demonstrated effectiveness.

Answer to Question 2

ANS: B
The nurse should assess the client's last menstrual cycle to determine if the client is experiencing the onset of menopause. Menopause usually occurs around the age of 50. The decrease in estrogen can result in multiple symptoms, including a decrease in biological drives and sexual activity.