Author Question: The client with somatoform pain disorder reveals to the nurse that he has begun to question why ... (Read 22 times)

storky111 · **on:** Jul 19, 2018

The client with somatoform pain disorder reveals to the nurse that he has begun to question why
God has chosen to have him lead the life of an invalid who is unable to provide for his family.

He
states that he believes the burden placed on his spouse and his children may be even greater than the
burden he must bear. He blames God for punishing his innocent family.. Select the nursing
diagnoses that could be developed for the client. (More than one answer may be correct.)
A. Spiritual distress
B. Self-care deficit
C. Decisional conflict
D. Ineffective role performance

Question 2

The characteristic in individuals with personality disorders that makes it most necessary for staff to
schedule frequent meetings is

a. flexibility and adaptability to stress.
b. ability to achieve true intimacy.
c. ability to evoke interpersonal conflict.
d. inability to develop trusting relationships.

lgoldst9 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS:
A, D
Rationale: The client's verbalization is consistent with spiritual distress. Moreover, his description
of being unable to provide for and burdening his family suggests ineffective role performance. Data
are not provided to support diagnoses of self-care deficit or decisional conflict.

Answer to Question 2

C
Frequent team meetings are held to counteract the effects of the client's attempts to split staff and set
them against one another, causing interpersonal conflict. Option A: Clients with personality disorder
are inflexible and demonstrate maladaptive responses to stress. Options B and D: Clients with
personality disorder are usually unable to develop true intimacy with others and are unable to
develop trusting relationships. The problem with trust exists but is not the characteristic that requires
frequent staff meetings.