The nurse is caring for a 40-year-old patient suspected of having ...

[cagreen833]

The nurse is caring for a 40-year-old patient suspected of having a somatic symptom or related disorder. Which symptoms within the psychological domain would suggest that the patient does not have a somatic symptom or related disorder? Select all that app
 
  1. Hallucinations
  2. Compulsions
  3. Flashbacks
  4. Irritability
  5. Withdrawal

Question 2

The nurse is caring for a patient who is morbidly obese and who has been diagnosed with somatic symptom disorder. The patient history reveals that the patient's mother suffered from alcohol use disorder.
 
  Which domain does the nurse recognize as the most useful in explaining the patient's condition?
  1. Cultural domain
  2. Spiritual domain
  3. Biological domain
  4. Psychological domain

[aham8f]

Answer to Question 1

Answer: 2, 3
Explanation: Individuals with somatic symptom and related disorders may exhibit the following psychological symptoms: dissociation; hallucinations; crying; decreased interest; decreased productivity; depression; difficulty concentrating; feelings of apprehension, helplessness, worthlessness; focusing on the past; hypercritical; irritability; persistent worrying preoccupation with negatives; and withdrawal. Flashbacks are associated with dissociative disorders and posttraumatic stress disorder (PTSD). Compulsions are associated with obsessive-compulsive disorder (OCD).

Answer to Question 2

Answer: 4
Explanation: Research into the emotional responses of individuals in their relation to their physical state lies within the psychological domain. Early childhood distress is associated with adult obesity and other physical illnesses. In the cultural domain somatic concerns vary depending on the culture or the country. In the spiritual domain, individuals may seek meaning and/or solace in their symptoms, or they may feel spiritually and emotionally disengaged. In the biological domain body sensations become the individual's focus and concern.