A client has persistent fear and belief of having a serious illness, despite having minimal or no symptoms. What is the primary motivation for this behavior?

Avoidance of distressing situations.

Intentional symptom production.

Seeking emotional relief.

Gaining attention and sympathy.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Avoidance of distressing situations. This choice suggests that the primary motivation for the client's behavior is to avoid situations that cause distress. While this may be a factor in some cases of illness-related behaviors, it is not the primary motivation described in the scenario. The client's persistent fear and belief of having a serious illness despite minimal or no symptoms indicate a different underlying motivation.

Choice B rationale:

Intentional symptom production. This choice accurately captures the primary motivation for the client's behavior. Intentional symptom production refers to the deliberate creation or exaggeration of physical symptoms, often driven by psychological factors. In this case, the client's persistent fear and belief in having a serious illness point toward intentionally producing symptoms to validate their belief and seek attention or emotional relief.

Choice C rationale:

Seeking emotional relief. While seeking emotional relief may be a secondary motivation for some individuals with somatic symptom disorders, it is not the primary motivation described in the scenario. The client's behavior is primarily driven by the intentional production of symptoms and the associated beliefs, rather than a sole focus on emotional relief.

Choice D rationale:

Gaining attention and sympathy. While seeking attention and sympathy may be an outcome of the client's behavior, it is not the primary motivation. The client's behavior is rooted in their belief of having a serious illness, leading to intentional symptom production, rather than solely seeking attention or sympathy.

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Correct Answer is C

Explanation

Choice A rationale:

Illness anxiety disorder involves excessive worry about having a serious illness, often despite minimal or no symptoms. While this choice relates to anxiety about being sick, it does not encompass the chronic physical symptoms without clear medical explanation that the client in the scenario is experiencing.

Choice B rationale:

Conversion disorder involves neurological symptoms such as altered motor functions or sensory deficits that cannot be explained by medical conditions. However, this choice doesn't account for the chronic nature of the symptoms described in the scenario.

Choice C rationale:

Somatic symptom disorder is characterized by chronic physical symptoms that cause distress and impairment, but the symptoms cannot be fully explained by medical conditions alone. This is the most appropriate choice for the client in the scenario, as it aligns with the chronic and distressing nature of the symptoms.

Choice D rationale:

Factitious disorder involves intentionally falsifying or inducing physical or psychological symptoms for the purpose of assuming the sick role. This choice does not reflect the chronic nature of the symptoms in the scenario, nor does it address the distress experienced by the client.

A. Fluoxetine. B. Venlafaxine. C. Amitriptyline. D. Escitalopram. E. Duloxetine.

Correct Answer is ["A","D","E"]

Explanation

Choice A rationale:

Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression and other mood disorders. It works by increasing the levels of serotonin in the brain, which helps improve mood and reduce symptoms of depression.

Choice B rationale:

Venlafaxine is not an SSRI; it is a serotonin-norepinephrine reuptake inhibitor (SNRI). While it also affects serotonin levels, it additionally targets norepinephrine, making it different from the classic SSRIs.

Choice C rationale:

Amitriptyline is a tricyclic antidepressant (TCA), not an SSRI. TCAs work by affecting the levels of multiple neurotransmitters, including serotonin and norepinephrine. They are generally considered second-line treatments due to their side effect profile and the availability of newer options like SSRIs and SNRIs.

Choice D rationale:

Escitalopram is an SSRI used to treat depression and anxiety disorders. It specifically targets serotonin reuptake, leading to increased serotonin levels in the brain and improved mood.

Choice E rationale:

Duloxetine is an SNRI that is used to treat major depressive disorder, generalized anxiety disorder, and certain pain conditions. Like other SNRIs, it acts on both serotonin and norepinephrine systems to alleviate symptoms of depression and anxiety.

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A client has persistent fear and belief of having a serious illness, despite having minimal or no symptoms. What is the primary motivation for this behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who exhibits chronic physical symptoms that cannot be fully explained by medical conditions. These symptoms cause distress and impairment in the client's daily life. What term is used to describe this condition?

Correct Answer is C

Explanation

(Select all that apply):. A nurse is explaining different classes of antidepressant medications to a client. Which of the following are examples of selective serotonin reuptake inhibitors (SSRIs)? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

A nurse is providing health teaching to a client with a somatic symptom illness. What is a crucial component of the nurse's education for the client?

A nurse is assessing a client with a somatic symptom illness. Which of the following manifestations may be associated with this disorder?

(Select all that apply):. A nurse is discussing non-pharmacological treatments for somatic symptom illnesses with a client. Which of the following interventions can be considered as relaxation techniques? Select all that apply.

A client with a somatic symptom illness is experiencing improvements in their symptoms and daily functioning. What should the nurse do to support the client's progress?

A nurse is educating a client about the different treatment options for somatic symptom illnesses. Which of the following medications is classified as an analgesic and can help relieve pain associated with somatic symptom illnesses?

A client with a somatic symptom illness is receiving care. What is an essential aspect of the nurse-client relationship in this situation?

A nurse is caring for a group of clients with somatic symptom illnesses. Select all the types of somatic symptom illnesses from the following options.

(Select All That Apply):. A nurse is assisting a client with a somatic symptom illness to establish a daily routine. Which of the following behaviors should the nurse encourage the client to adopt? Select all that apply.