A patient with predominant pain disorder says, Why has God chosen ...

[123654777]

A patient with predominant pain disorder says, Why has God chosen me to be sick all the time and unable to provide for my family? The burden on my family is worse than the pain I bear. Which nursing diagnoses apply to this patient? Select all that apply
 
  a. Spiritual distress
  b. Decisional conflict
  c. Adult failure to thrive
  d. Impaired social interaction
  e. Ineffective role performance

Question 2

A nurse assesses a patient suspected to have complex somatic system disorder. Which findings support the diagnosis? Select all that apply.
 
  a. Patient is a woman.
  b. Patient reports frequent syncope.
  c. Patient complains of heavy menstrual bleeding.
  d. Patient was first diagnosed with psoriasis at 12 years of age.
  e. Patient reports back pain, painful urination, frequent diarrhea, and hemorrhoids.

[juliaf]

Answer to Question 1

ANS: A, E
The patient's verbalization is consistent with spiritual distress. Moreover, the patient's description of being unable to provide for and burdening the family suggests ineffective role performance. No data support diagnoses of adult failure to thrive, impaired social interaction, or decisional conflict.

Answer to Question 2

ANS: A, B, C, E
No chronic disease explains the symptoms for patients with complex somatic system disorder. Patients report multiple symptoms; and gastrointestinal, sexual, and pseudoneurological symptoms are common. This disorder is more common is women than in men.

[123654777]

Thank you

[juliaf]

Happy to help you