which of the following best describes a somatic symptom disorder

ATI RN

RN ATI Capstone Proctored Comprehensive Assessment 2019 B

1. Which of the following best describes a somatic symptom disorder?

A. Client experiences sudden onset of symptoms due to stress
B. Physical manifestations occur due to underlying medical conditions
C. Client has excessive preoccupation with physical symptoms without a medical cause
D. Client avoids medical care due to fear of receiving a diagnosis

Correct answer: C

Rationale: The correct answer is C. Somatic symptom disorder is characterized by individuals having excessive preoccupation with physical symptoms that may or may not have an identifiable medical cause. Choice A is incorrect because the sudden onset of symptoms due to stress is more indicative of acute stress reaction. Choice B is incorrect as it describes physical manifestations related to known medical conditions, not somatic symptom disorder. Choice D is incorrect as it relates to health anxiety or illness anxiety disorder, where individuals avoid seeking medical care due to fear of receiving a diagnosis.

2. When is removal of the restraints by the nurse appropriate?

A. When medication that has been administered has taken effect
B. When no acts of aggression are observed in the hour following the release of two extremity restraints
C. When the nurse explores with the client the reasons for the angry and aggressive behavior
D. When the client apologizes and tells the nurse that it will never happen again

Correct answer: B

Rationale: The correct answer is B. The nurse can safely remove restraints once no aggressive behavior is observed after releasing two extremity restraints for an hour. Choice A is incorrect because the removal of restraints should be based on the client's behavior rather than just the effect of medication. Choice C is incorrect as exploring reasons for aggressive behavior should be done before or during the intervention, not as a condition for removing restraints. Choice D is incorrect since an apology from the client does not guarantee a change in behavior or indicate that it is safe to remove the restraints.

3. A health care provider asks the nurse to administer a medication with a dosage significantly higher than usual. What is the nurse's first action?

A. Administer the medication as ordered.
B. Question the provider and verify the dose.
C. Administer half the dosage as a precaution.
D. Refuse to administer the medication without clarification.

Correct answer: B

Rationale: When a health care provider orders a medication with a dosage significantly higher than usual, the nurse's initial action should be to question the provider and verify the dose. This is crucial to ensure patient safety and prevent medication errors. Administering the medication as ordered (Choice A) without clarification could potentially harm the patient if there was an error in the prescription. Administering half the dosage as a precaution (Choice C) is not a safe practice as it deviates from the prescribed order. Refusing to administer the medication without clarification (Choice D) is important, but the first step should be to seek clarification from the provider to prevent any unnecessary delays in patient care.

4. How should a nurse respond to a client with terminal cancer who has requested a change in the level of pain medication?

A. Increase the dosage without consulting the healthcare provider.
B. Consult with the healthcare provider to adjust the medication.
C. Ignore the request as the client is near the end of life.
D. Increase the medication to reduce pain faster.

Correct answer: B

Rationale: The correct answer is to consult with the healthcare provider to adjust the medication. It is crucial for the healthcare provider to be involved in changing pain medication for a client with terminal cancer to ensure that the new dosage is appropriate and safe. Option A is incorrect because adjusting medication without consulting the healthcare provider can be dangerous and is not within the scope of the nurse's practice. Option C is incorrect because ignoring the client's request goes against the principles of patient-centered care. Option D is incorrect as the primary goal should be to provide effective pain relief with the appropriate dosage, not to increase the medication arbitrarily.

5. A client with a new diagnosis of type 1 diabetes mellitus is being taught about self-administration of insulin by a nurse. Which of the following instructions should the nurse include?

A. Store the current bottle of insulin at room temperature
B. Massage the injection site after removing the needle
C. Pull back on the plunger after injecting the insulin
D. Use each syringe up to six times

Correct answer: A

Rationale: The correct answer is to store the current bottle of insulin at room temperature. Insulin should be stored this way to maintain its potency and effectiveness. Choice B is incorrect because massaging the injection site after removing the needle is not recommended practice and can cause bruising. Choice C is incorrect as pulling back on the plunger after injecting insulin can lead to injecting air bubbles into the tissue. Choice D is incorrect as syringes should not be reused multiple times due to the risk of contamination and inaccurate dosing.