Question

A nurse is caring for a client that is undergoing outpatient psychiatric treatment for somatization disorder. Which statement by the client indicates that teaching has been successful?

1. "I will keep a diary of times of stress and the appearance of physical symptoms."
2. "I will simply ignore any physical complaints I get from now on."
3. "The best way for me to stop having physical symptoms is to avoid any stress in my life."
4. "I will take a sedative when I start having physical complaints."

Answer 1

A client showing an understanding of the management of somatization disorder would acknowledge the link between stress and symptom manifestation and commit to monitoring this correlation, as reflected by keeping a stress and symptom diary.

Step-by-step explanation:

The client who is undergoing outpatient psychiatric treatment for somatization disorder demonstrates understanding of the teaching when they state, "I will keep a diary of times of stress and the appearance of physical symptoms." This reflects an acknowledgment of the connection between stress and physical symptoms, as well as the willingness to monitor and reflect on these experiences, which is a therapeutic strategy in managing somatization disorder. It's a practical exercise akin to praxis, which involves a conscious effort to track symptoms and possible triggers as a means to manage and potentially alleviate the disorder. Ignoring symptoms, avoiding stress entirely, or taking sedatives without proper evaluation are not considered effective strategies for dealing with somatization disorder.