hard · NCLEX-RN psychosocial
The clinic nurse develops a care plan to manage the client's somatic symptom disorder and reduce diagnostic shopping.
In what order should the nurse sequence the following therapeutic actions?
- Validate that the client's physical symptoms of chest tightness and abdominal cramping are real, painful, and distressing to him.
- Redirect the conversation from physical symptoms toward the client's emotional state, current stressors, and coping feelings.
- Collaborate with the client to establish realistic functional goals (e.g., walking 15 minutes daily) that are independent of symptom severity.
- Teach stress-reduction techniques and cognitive-behavioral strategies such as deep diaphragmatic breathing and mindfulness.
- Set clear limits on requests for redundant diagnostic testing and direct the client to follow up only at regularly scheduled, consistent appointments.
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