____ 14. A client has been diagnosed as having blindness related to conversion disorder. She displays
indifference regarding the conversion symptom. The nurse states “I can’t understand why the client
doesn’t seem more
...
____ 14. A client has been diagnosed as having blindness related to conversion disorder. She displays
indifference regarding the conversion symptom. The nurse states “I can’t understand why the client
doesn’t seem more anxious about her symptom.” The understanding that should guide planning is
that the
a. client is suppressing her true feelings.
b. client’s anxiety has been relieved through the physical symptom.
c. client’s needs are met during hospitalization, so she has no need to be anxious.
d. client does not wish to display her actual fear.
____ 15. To best assist a client with a somatoform disorder, a nursing intervention of high priority that should
be planned is
a. shift focus from somatic symptoms to feelings.
b. imply that somatic symptoms are not real.
c. help client suppress feelings of anger.
d. investigate each physical symptom as it is offered.
____ 16. A client’s roommate has observed the client behaving in uncharacteristic ways, but the client cannot
remember the episodes. During the assessment, which question should the nurse omit as irrelevant?
a. “Are you sexually promiscuous?”
b. “Are your memories of childhood clear and complete, or do you have many blank
spots?”
c. “Have you ever found new things in your belongings that you cannot remember
buying?”
d. “Have you ever found yourself someplace and did not know how you got there?”
____ 17. For the client with dissociative amnesia, an appropriate indicator for the outcome of cognition
(demonstrate ability to execute complex mental processes) is that the client will
a. verbalize feelings of safety.
b. function independently.
c. regularly attend diversional activities.
d. describe previously forgotten experiences.
____ 18. Establishing a therapeutic relationship with a client with a dissociative disorder may be more
difficult for the nurse than establishing a relationship with a psychotic client because the client with
a dissociative disorder
a. seems haughty, distant, and aloof.
b. has symptoms that may seem contrived.
c. seems too needy, overwhelming the nurse.
d. seeks enormous amounts of secondary gain.
____ 19. A client states “I feel detached and weird all the time. It’s as though I’m looking at life through a
cloudy window. Everything seems unreal. These feelings really get in the way of working and
studying.” The nurse can assess that the client is experiencing
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