a nurse is caring for a client who has been diagnosed with somatic symptom disorder which of the following behaviors should the nurse expect

ATI RN

ATI Mental Health Practice B

1. A client is diagnosed with somatic symptom disorder. Which of the following behaviors should the nurse expect?

A. Excessive worry about physical symptoms
B. Fear of gaining weight
C. Frequent visits to healthcare providers
D. Persistent depressive mood

Correct answer: C

Rationale: Individuals with somatic symptom disorder often exhibit frequent visits to healthcare providers due to their excessive worry about physical symptoms. They seek reassurance and explanations for their perceived medical issues, even when there is no organic basis for their complaints. This behavior is a characteristic feature of somatic symptom disorder and distinguishes it from other conditions. Choices A, B, and D are incorrect. Excessive worry about physical symptoms may occur but it is not the primary behavior associated with this disorder. Fear of gaining weight is more characteristic of eating disorders, and persistent depressive mood is more indicative of mood disorders rather than somatic symptom disorder.

2. During a mental status examination, which of the following components should not be included in the assessment?

A. Appearance and behavior
B. Giving advice
C. Mood and affect
D. Cognitive function

Correct answer: B

Rationale: During a mental status examination, components such as appearance and behavior, mood and affect, and cognitive function are assessed. Giving advice is not a component of a mental status examination as it focuses on evaluating the client's mental state rather than providing guidance or recommendations.

3. When caring for a client with major depressive disorder, what is the most appropriate short-term goal for the client?

A. The client will report a decrease in depressive symptoms.
B. The client will establish a sleep routine.
C. The client will improve social interactions.
D. The client will set realistic goals for the future.

Correct answer: A

Rationale: The most appropriate short-term goal for a client with major depressive disorder is for them to report a decrease in depressive symptoms. This goal is specific, measurable, and achievable, focusing on the primary symptoms of the disorder. By monitoring and assessing the client's self-reported improvement in depressive symptoms, the healthcare team can track progress and adjust interventions accordingly.

4. Which activity is most appropriate for a child with ADHD?

A. Reading an adventure novel
B. Monopoly
C. Checkers
D. Tennis

Correct answer: D

Rationale: Engaging in physical activities like tennis is beneficial for children with ADHD as it allows them to release excess energy and enhance concentration. Exercise can help improve focus and reduce hyperactivity in children with ADHD.

5. Based on what criteria do most cultures label behavior as mental illness?

A. Incomprehensibility and cultural relativity
B. Strength of character and ethics
C. Goal directedness and high energy
D. Creativity and good coping skills

Correct answer: A

Rationale: The correct answer is A: Incomprehensibility and cultural relativity. Incomprehensibility and cultural relativity are the main criteria used across cultures to define behavior as mental illness. When behavior is incomprehensible and significantly deviates from cultural norms, it is more likely to be classified as a mental illness. Choices B, C, and D are incorrect. Strength of character, ethics, goal directedness, high energy, creativity, and good coping skills are typically associated with positive mental health rather than mental illness.