A client with somatization disorder tells the nurse that she is ...

[khang]

A client with somatization disorder tells the nurse that she is sick so often that her husband and children take over most of the household duties, such as cooking, cleaning, doing laundry, and so forth. This is an example of a:
 
  A) Dysfunctional family unit
  B) Primary gain
  C) Role reversal
  D) Secondary gain

Question 2

A client diagnosed with schizophrenia states, My psychiatrist is out to get me. I'm sad that the voice is telling me to stop him. What symptom is the client exhibiting, and what is the nurse's legal responsibility related to this symptom?
 
  A. Magical thinking; administer an antipsychotic medication
  B. Persecutory delusions; orient the client to reality
  C. Command hallucinations; warn the psychiatrist
  D. Altered thought processes; call an emergency treatment team meeting

[irishcancer18]

Answer to Question 1

D
Feedback: Secondary gains involve increased attention and relief from normal responsibilities and expectations when clients are ill. This is not an example of a dysfunctional family unit or role reversal. A primary gain is a direct external benefit that being sick provides.

Answer to Question 2

C
The nurse should determine that the client is exhibiting command hallucinations. The nurse's legal responsibility is to warn the psychiatrist of the potential for harm. A client who is demonstrating a risk for violence could potentially become physically, emotionally, and/or sexually harmful to others or to self.

[khang]

Excellent

[scottmt]

TYSM