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. A patient with a history of hypertension is admitted for chest pain. What is the most appropriate action for the nurse to take first?

A. Obtain a detailed medical history
B. Administer nitroglycerin
C. Conduct an ECG
D. Administer morphine sulfate

Correct answer: B

Rationale: The correct answer is to administer nitroglycerin. Nitroglycerin is the priority intervention for a patient presenting with chest pain as it helps dilate blood vessels, reduce chest pain, and improve oxygen supply to the heart. Obtaining a detailed medical history, conducting an ECG, or administering morphine sulfate are important steps in the assessment and treatment process but are secondary to the immediate need to address chest pain and potential cardiac ischemia.

3. The patient experienced a surgical procedure, and Betadine was utilized as the surgical prep. Two days postoperatively, the nurse's assessment indicates that the incision is red and has a small amount of purulent drainage. The patient reports tenderness at the incision site. The patient's temperature is 100.5°F, and the WBC is 10,500/mm³. Which action should the nurse take first?

A. Reevaluate the temperature and white blood cell count in 4 hours.
B. Check which solution was used for skin preparation in surgery.
C. Plan to change the surgical dressing during the shift.
D. Utilize SBAR to notify the primary health care provider.

Correct answer: D

Rationale: The patient is showing signs of a possible surgical site infection, including redness, purulent drainage, tenderness, elevated temperature, and increased white blood cell count. These symptoms suggest the need for immediate action to address a potential complication. Utilizing SBAR to notify the primary health care provider is crucial as it allows for effective communication of the patient's condition and the need for further assessment and intervention. Reevaluating the temperature and white blood cell count later, checking the solution used for skin preparation, or planning to change the dressing do not address the urgent need for intervention and communication with the healthcare provider.

4. The family member is observing a family member changing a dressing for a patient in the home health environment. Which observation indicates the family member has a correct understanding of how to manage contaminated dressings?

A. The family member saves part of the dressing because it is clean.
B. The family member places the used dressings in a plastic bag.
C. The family member removes gloves and gathers items for disposal.
D. The family member wraps the used dressing in toilet tissue before placing it in the trash.

Correct answer: B

Rationale: The correct way to manage contaminated dressings is to place them in plastic bags for proper disposal. This helps prevent the spread of infection. Choice A is incorrect because saving part of the dressing is not a recommended practice. Choice C is not directly related to managing contaminated dressings. Choice D is incorrect as wrapping the used dressing in toilet tissue is not the appropriate way to dispose of contaminated dressings.

5. A client has a new prescription for guaifenesin. What information regarding the action of guaifenesin should the nurse include in the teaching?

A. Decreases mucus production
B. Reduces nasal congestion
C. Increases cough production
D. Reduces fever

Correct answer: C

Rationale: The correct answer is C: 'Increases cough production.' Guaifenesin is an expectorant that works by increasing cough production to help clear secretions from the airways. Option A is incorrect because guaifenesin does not decrease mucus production but rather helps to make the mucus easier to cough up. Option B is incorrect as guaifenesin does not reduce nasal congestion. Option D is incorrect because guaifenesin does not have any effect on reducing fever.