The Client With a Somatoform Disorder
Somatoform Disorder.
The client with an axis I diagnosis of Pain Disorder is angry and demanding and focus on the head pain she is experiencing.
1. At 11 am, the client demand that the nurse calls the physician for more pain medication because she is still pain after the 9 am analgesic. The best nursing action is
a. call the physician as client request
b. suggest the client lie down because she has to wait 4 hours for the next dose
c. inform the client that the physician will be in later and to talk to her about it
d. inform the client that the nurse can not give her additional medication at this time and invite the client to participate a card game.
(the correct answer is d, the nurse informs the client in the matter of fact manner that the nurse cannot give her additional pain medication at this time and invites the client to participate in a card game to decrease rumination about pain by directing the client's attention to a milieu activity. By telling the client the nurse will call the physician as requested, the nurse is manipulated to do what the client demands. Suggesting the client lie down or talk to the physician about it ignores the client's needs and is not helpful).
2. A nursing diagnosis for the client with Pain Disorder is anxiety; severe secondary to dependency as evidenced by the inability to care for self. The nurse will support the client to do as much self-care as she can, The purpose of the nurse 's action is to
a. maintain secondary gain.
b. decrease secondary gain.
c. increase primary gain.
d. ignore primary gain.
(the correct answer is
3. The nursing assistant tells the nurse that the client is not in the dining room for lunch. The nurse instructs the nursing assistant to
a. take the client a lunch tray and have the client eat in her room
b. tell the client she'll need to wait until supper to eat if she misses lunch
c. invite the client to lunch and accompany her to dining room
d.inform the client she has 10 minutes to get to the dining room for lunch
(the correct answer is
The client with an axis I diagnosis of Pain Disorder is angry and demanding and focus on the head pain she is experiencing.
1. At 11 am, the client demand that the nurse calls the physician for more pain medication because she is still pain after the 9 am analgesic. The best nursing action is
a. call the physician as client request
b. suggest the client lie down because she has to wait 4 hours for the next dose
c. inform the client that the physician will be in later and to talk to her about it
d. inform the client that the nurse can not give her additional medication at this time and invite the client to participate a card game.
(the correct answer is d, the nurse informs the client in the matter of fact manner that the nurse cannot give her additional pain medication at this time and invites the client to participate in a card game to decrease rumination about pain by directing the client's attention to a milieu activity. By telling the client the nurse will call the physician as requested, the nurse is manipulated to do what the client demands. Suggesting the client lie down or talk to the physician about it ignores the client's needs and is not helpful).
2. A nursing diagnosis for the client with Pain Disorder is anxiety; severe secondary to dependency as evidenced by the inability to care for self. The nurse will support the client to do as much self-care as she can, The purpose of the nurse 's action is to
a. maintain secondary gain.
b. decrease secondary gain.
c. increase primary gain.
d. ignore primary gain.
(the correct answer is
3. The nursing assistant tells the nurse that the client is not in the dining room for lunch. The nurse instructs the nursing assistant to
a. take the client a lunch tray and have the client eat in her room
b. tell the client she'll need to wait until supper to eat if she misses lunch
c. invite the client to lunch and accompany her to dining room
d.inform the client she has 10 minutes to get to the dining room for lunch
(the correct answer is
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