A patient has a somatization disorder. Which statement by the ...

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A patient has a somatization disorder. Which statement by the patient would indicate a need for additional patient teaching?
 
  a. I have learned that my family can be a support system.
  b. I will let my therapist know if I think suicidal thoughts.
  c. Drinking strong coffee really helps me combat my fatigue.
  d. Nicotine makes my heart race, so I need to stop smoking.

Question 2

Which adult patient is most likely a candidate for the diagnosis of factitious disorder?
 
  a. An educated African immigrant
  b. A health care facility employee
  c. A cognitively challenged female
  d. A middle-aged American male

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Answer to Question 1

ANS: C
Educating the patient about the importance of limiting caffeine, nicotine, and other central nervous system stimulants is important since these substances can increase physical symptoms of anxiety (e.g., rapid heart rate, jitteriness) that may cue other somatic concerns. Drinking strong coffee each day may cause physical symptoms that could cue other somatic concerns; this statement indicates a need for more teaching. The remaining options are all positive thoughts or actions for a patient.

Answer to Question 2

ANS: B
The adult patients diagnosed with factitious disorder are often knowledgeable regarding medical terminology, and many work in the health care. The other options are not commonly associated with the disorder.

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