A patient with a somatic symptom disorder has the nursing ...

[Mimi]

A patient with a somatic symptom disorder has the nursing diagnosis: Interrupted family processes, related to patient's disabling symptoms as evidenced by spouse and children assuming roles and tasks that previously belonged to patient.
 
  An appropriate outcome is that the patient will:
 
  a. Assume roles and functions of the other family members.
  b. Demonstrate a resumption of former roles and tasks.
  c. Focus energy on problems occurring in the family.
  d. Rely on family members to meet his or her personal needs.

Question 2

A woman is 5'7 tall, weighs 160 pounds, and wears a size 8 shoe. She says, My feet are huge. I've asked three orthopedists to surgically reduce my feet.
 
  The patient tries to buy shoes to make her feet look smaller, and in social settings conceals both feet under a table or chair. Which health problem is likely?
 
  a. Dissociative fugue
  b. Prominent pain disorder
  c. Body dysmorphic disorder
  d. Depersonalization disorder

[fwbard]

Answer to Question 1

ANS: B
The patient with a somatic symptom disorder has typically adopted a sick role in the family, characterized by dependence. Increasing independence and the resumption of former roles are necessary to change this pattern. The distracters are inappropriate outcomes.

Answer to Question 2

ANS: C
Body dysmorphic disorder refers to a preoccupation with an imagined defect in appearance in a normal-appearing person. The patient's feet are proportional to the rest of her body. Dissociative fugue is characterized by sudden, unexpected travel away from the customary locale and the inability to recall one's identity and information about some or all of the past. Prominent pain disorder involves the presence of pain not associated with a medical disorder. Depersonalization disorder involves an alteration in the perception of self, such as feeling mechanical or unreal.

[Mimi]

Correct answers!

[fwbard]

Great! Please up vote