Which of the following are identified as psychoneurotic responses to severe anxiety as they appear in the DSM-5?
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A
Somatic symptom disorders
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B
Grief responses
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C
Psychosis
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D
Bipolar disorder
The best way to answer the question is Somatic symptom disorders.
A. Somatic symptom disorders
This aligns with the concept that Somatic symptom disorder is characterized by preoccupation with physical symptoms for which there is no demonstrable organic pathology. One of the diagnostic criteria is a high level of anxiety about health concerns or illness. Need: Psychosocial Integrity The underlying principle in the stem is best addressed by choosing the response that is both specific to the cue provided and consistent with evidence-informed psychiatric nursing practice. From a nursing standpoint, this selection guides assessment and interventions toward what is most clinically meaningful in the moment—risk reduction, safety, accurate appraisal, and support for adaptive coping.
B. Grief responses
This could seem tempting if the idea in “Grief responses” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
C. Psychosis
This might be chosen when the idea in “Psychosis” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
D. Bipolar disorder
This would apply in a different scenario where the idea in “Bipolar disorder” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
Conclusion
What separates the best choice from the rest is specificity: the correct option addresses the exact mechanism, stage, or principle described. The other answers relate to nearby ideas, yet they miss the question’s focal point or misapply the concept to the situation.