A nurse is assessing clients with somatic symptom illnesses. Select all the statements that accurately describe illness anxiety disorder.

The client experiences altered voluntary motor functions.

The client has excessive or maladaptive responses to symptoms.

The client is preoccupied with having a serious illness.

The client intentionally produces physical symptoms.

The client's symptoms are not intentionally produced and cause distress.

Answer and Explanation

Correct Answer : B,C,E

Choice A rationale:

The client experiences altered voluntary motor functions. This choice is not accurate in describing illness anxiety disorder. Altered voluntary motor functions are more characteristic of conversion disorder, not illness anxiety disorder.

Choice B rationale:

The client has excessive or maladaptive responses to symptoms. This choice accurately describes illness anxiety disorder. Individuals with this disorder exhibit excessive worry and preoccupation with the possibility of having a serious illness, often responding to mild or non-specific symptoms with disproportionate anxiety and distress.

Choice C rationale:

The client is preoccupied with having a serious illness. This choice is correct in describing illness anxiety disorder. Preoccupation with having a serious illness, despite little or no medical evidence, is a hallmark of this disorder. This preoccupation can lead to significant distress and impairment in daily functioning.

Choice D rationale:

The client intentionally produces physical symptoms. This choice is not accurate for illness anxiety disorder. Intentional symptom production is more characteristic of factitious disorder, where individuals purposefully produce or feign symptoms for various reasons.

Choice E rationale:

The client's symptoms are not intentionally produced and cause distress. This choice accurately characterizes illness anxiety disorder. The symptoms experienced by individuals with this disorder are not intentionally produced but are associated with distress due to the individual's persistent fear and belief in having a serious illness.

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Correct Answer is C

Explanation

Choice A rationale:

"I'm struggling with altered motor function.". Choice A is not associated with the behavior described in the question. Altered motor function typically refers to difficulties with movement and coordination, which may be genuine physical issues but are not indicative of intentionally falsifying symptoms for attention.

Choice B rationale:

"I don't know why I'm feeling this way.". Choice B does not accurately reflect the behavior of repeatedly falsifying psychological symptoms for attention. This statement suggests a lack of understanding regarding one's feelings, rather than intentionally seeking attention through fabricated symptoms.

Choice C rationale:

"I just want attention from others.". Choice C is the correct answer. This statement is commonly associated with the behavior described in the question. Individuals who falsify or exaggerate psychological symptoms often do so to gain attention from others. This behavior is characteristic of factitious disorders, where the primary motivation is to be seen as ill and receive care and concern.

Choice D rationale:

"I'm worried about having a serious illness.". Choice D does not align with the behavior of intentionally falsifying psychological symptoms for attention. Expressing concern about a serious illness might indicate genuine health-related anxiety but does not reflect the behavior described in the question.

A. Provide excessive attention to the client's physical complaints. B. Withhold praise for the client's achievements. C. Acknowledge and praise the client for their improvement. D. Encourage the client to focus solely on their illness behavior.

Correct Answer is C

Explanation

Choice A rationale:

Providing excessive attention to the client's physical complaints is not conducive to the client's progress. While it's important to address the client's concerns, excessive focus on physical complaints can reinforce illness behavior and hinder the development of healthier coping mechanisms.

Choice B rationale:

Withholding praise for the client's achievements is not supportive of the client's progress. Positive reinforcement is essential for motivating and reinforcing adaptive behaviors. By acknowledging the client's achievements, the nurse can boost their self-esteem and encourage continued improvement.

Choice C rationale:

Acknowledging and praising the client for their improvement is a beneficial approach. Positive reinforcement enhances the client's sense of accomplishment and encourages them to continue engaging in positive behaviors. This approach fosters a therapeutic relationship and supports the client's journey towards better health.

Choice D rationale:

Encouraging the client to focus solely on their illness behavior is counterproductive. Overemphasis on illness behavior can perpetuate the symptoms and prevent the client from developing a broader sense of identity and well-being.

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A nurse is assessing clients with somatic symptom illnesses. Select all the statements that accurately describe illness anxiety disorder.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who repeatedly falsifies psychological symptoms to assume the role of a sick person. What statement is commonly associated with this behavior?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

A nurse is providing care for several clients with somatic symptom illnesses. Which of the following clients is most likely to have illness anxiety disorder?

A nurse is educating a group of students about somatic symptom illnesses. Which disorder is characterized by intentional production or falsification of symptoms to gain attention or care?

A nurse is educating a client about the concept of psychotherapy as a treatment option for somatic symptom illnesses. Which type of psychotherapy focuses on challenging and changing negative thoughts and beliefs that contribute to symptoms?

(Select all that apply):. A nurse is discussing various goals that can be set for the treatment of somatic symptom illnesses. Which of the following are realistic and measurable goals that a client might aim for? Select all that apply.

(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.

A client with a somatic symptom illness states, "I always feel weak and fatigued, no matter what I do. I can't even walk properly." Which nursing intervention is appropriate for this client?

(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.