Registered Practical Nurse (RPN) Practice Test

A nurse's intervention for a patient with somatization disorder may include:

1. Focusing exclusively on medical interventions

2. Discussing a wide range of life events to understand symptoms

3. Developing cognitive skills for pain management

4. Referencing past medical history only

The correct answer is: Developing cognitive skills for pain management

In the context of somatization disorder, which is characterized by the presence of physical symptoms that cannot be fully explained by a medical condition, the development of cognitive skills for pain management is a crucial intervention. Patients often experience distress due to unresolved psychological issues manifesting as physical symptoms. By focusing on cognitive skills, the nurse helps the patient learn techniques to manage their perception of pain and emotional distress. This approach empowers the patient to understand their symptoms better and equips them with tools to cope with discomfort, ultimately promoting a more balanced psychological and physical state. While discussing a wide range of life events to understand symptoms can be beneficial, the primary focus in this particular intervention is on equipping the patient with tangible skills rather than dwelling solely on the exploration of their history or life events. Medical interventions alone, without incorporating cognitive and psychological strategies, may not effectively address the psychosomatic nature of the disorder. Additionally, referencing past medical history disregards the importance of the ongoing management and psychosocial support that patients with somatization disorder require.