Registered Practical Nurse (RPN) Practice Test

What potential psychological issue is often assessed in clients with somatoform disorder?

1. Obsessive-compulsive disorder.

2. Post-traumatic stress disorder.

3. Major depressive disorder.

4. Social anxiety disorder.

The correct answer is: Major depressive disorder.

Clients with somatoform disorder frequently experience significant psychological distress that may manifest as physical symptoms, leading to the consideration of various underlying psychological issues. One common co-occurring condition is major depressive disorder. The symptoms of somatoform disorder, such as persistent pain or fatigue without a clear medical cause, can often lead to feelings of hopelessness, sadness, and a loss of interest in activities, which are characteristic of major depression. Moreover, the overlap in symptomatology can create a cyclical relationship where the somatic symptoms exacerbate depressive feelings, further complicating the clinical picture. Therefore, assessing for major depressive disorder in clients with somatoform disorder is critical, as effective management of the depression can also alleviate some of the somatic complaints, leading to improved overall mental health and well-being. The presence of this dual diagnosis highlights the importance of comprehensive assessment and integrated treatment strategies in nursing practice.