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    HESI RN Psychiatric and Mental Health Proctored Exam

    The nurse is assessing a client whose spouse died of a stroke two weeks ago and who reports having numbness and tingling on the right side of the body. The nurse should consider the client's symptoms may likely be due to which condition?

    Explanation & Rationale

    Choice A reason: Disorganization refers to cognitive or behavioral chaos, not physical symptoms like numbness. Somatization involves physical complaints from psychological distress, fitting the client’s grief-related symptoms. Disorganization does not explain the neurological complaints, making this incorrect for the likely condition causing the symptoms.Choice B reason: Preoccupation involves excessive focus on thoughts, not physical symptoms. Somatization better explains numbness and tingling as physical manifestations of grief-related stress. Preoccupation lacks a somatic component, making this incorrect for the condition underlying the client’s reported physical symptoms post-loss.Choice C reason: Somatization involves physical symptoms, like numbness and tingling, arising from psychological distress, such as grief from a spouse’s death. This aligns with psychosomatic responses to loss, supported by psychiatric evidence, making it the most likely condition for the client’s symptoms in this context.Choice D reason: Reexperience relates to PTSD flashbacks, not physical symptoms like numbness. Somatization accounts for physical complaints from emotional stress, fitting the client’s grief. Reexperience is specific to trauma recall, making this incorrect for explaining the client’s somatic symptoms following a recent loss.

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