Anxiety Disorders and Stress Q 32

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The following are the appropriate nursing diagnosis for the client except:

  

     A. Ineffective individual coping

     B. Alteration in comfort, pain

     C. Altered role performance

     D. Impaired social interaction

    

    

Correct Answer: D. Impaired social interaction

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The client may not have difficulty in social exchange. The cues do not support this diagnosis. Clients who somatize do not experience disordered thought processes; the content of their thinking is primarily about often exaggerated physical concerns, for example, when they have a simple cold they may be convinced it is pneumonia.

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Option A: The client maladaptively uses body symptoms to manage anxiety. Often, clients walk slowly or with an unusual gait because of the pain or disability caused by the symptoms; they may exhibit a facial expression of discomfort or physical distress.

Option B: The client will have discomfort due to pain. Clients usually provide a lengthy and detailed account of previous physical problems, numerous diagnostic tests, and perhaps even a number of surgical procedures.

Option C: The client may fail to meet environmental expectations due to pain. Mood is often labile, shifting from seeming depressed and sad when describing physical problems to looking bright and excited when talking about how they had to go to the hospital in the middle of the night by ambulance.

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