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 client with altered motor functions and sensory symptoms.

A client intentionally producing physical symptoms for attention.

A client preoccupied with having a serious illness despite minimal symptoms.

A client experiencing chronic physical symptoms with excessive responses.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Altered motor functions and sensory symptoms are more indicative of conversion disorder rather than illness anxiety disorder. Conversion disorder involves neurological symptoms that cannot be medically explained, which contrasts with the preoccupation with serious illness seen in illness anxiety disorder.

Choice B rationale:

Intentionally producing physical symptoms for attention aligns with factitious disorder, where individuals feign or induce symptoms to assume the sick role. This behavior does not align with the diagnostic criteria for illness anxiety disorder.

Choice C rationale:

This choice correctly identifies the key characteristic of illness anxiety disorder, which involves excessive worry about having a serious illness despite minimal or no symptoms. This preoccupation causes distress and often leads the individual to seek medical reassurance repeatedly.

Choice D rationale:

Experiencing chronic physical symptoms with excessive responses might be seen in somatic symptom disorder, where the distress and impairment caused by the symptoms are disproportionate. However, this choice does not specifically address the preoccupation with serious illness that defines illness anxiety disorder.

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Correct Answer is ["B","C","E"]

Explanation

Choice A rationale:

Cognitive-behavioral therapy is not a relaxation technique. It is a form of psychotherapy that focuses on identifying and changing negative thought patterns and behaviors. It is effective for various mental health conditions but does not involve relaxation techniques.

Choice B rationale:

Acupuncture involves inserting thin needles into specific points on the body to stimulate energy flow. While it has potential therapeutic effects, it is not a relaxation technique. Acupuncture is often used to alleviate pain and treat various health conditions.

Choice C rationale:

Progressive muscle relaxation is a relaxation technique that involves tensing and then relaxing different muscle groups in the body. It helps reduce muscle tension, anxiety, and stress. This technique is often used to promote relaxation and manage somatic symptoms.

Choice D rationale:

Interpersonal therapy is a form of psychotherapy that focuses on improving interpersonal relationships and communication. It does not involve relaxation techniques. Interpersonal therapy is used to address mood disorders and interpersonal issues.

Choice E rationale:

Hypnosis is a relaxation technique that aims to induce a trance-like state of focused attention and heightened suggestibility. During hypnosis, individuals may experience deep relaxation and increased responsiveness to suggestions. It can be used to manage pain, anxiety, and other symptoms.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(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.

Correct Answer is ["B","C","E"]

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

(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.

A nurse is conducting an assessment of a client with suspected somatic symptom illness. Which aspect should the nurse consider as part of the assessment process?

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 client experiences physical symptoms that are distressing and interfere with daily life. The client exhibits excessive responses to these symptoms and their health concerns. Which term describes this condition?

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?

A nurse is discussing potential complications of somatic symptom illnesses with a client. Which of the following factors can influence the client's outcomes in managing their condition?

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