A nurse is working with a client who is displaying disproportionate fear of having cancer. The nurse notes the client is seeking out medical care more frequently, has high anxiety, and believes they have cancer, despite no medical evidence to support this. Which of the following disorders is the client likely experiencing?
Somatic symptom disorder
Factitious disorder
Functional neurological symptom disorder
Illness anxiety disorder
The Correct Answer is D
A. Somatic symptom disorder. This disorder involves excessive concern over physical symptoms that are actually present, even if they are mild. In contrast, illness anxiety disorder is characterized by intense fear of having a serious illness despite the absence of significant physical symptoms.
B. Factitious disorder. Factitious disorder involves deliberately fabricating or inducing symptoms to assume the sick role. In illness anxiety disorder, the client genuinely believes they are ill but does not intentionally create symptoms.
C. Functional neurological symptom disorder. This condition, previously called conversion disorder, involves neurological symptoms (e.g., paralysis, blindness) that cannot be explained by medical findings. Unlike illness anxiety disorder, these symptoms are involuntary and not focused on a fear of disease.
D. Illness anxiety disorder. This disorder, formerly known as hypochondriasis, involves excessive worry about having a severe illness despite little or no medical evidence. The client’s persistent health-related anxiety and frequent medical visits align with this diagnosis.
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Related Questions
Correct Answer is B
Explanation
A. People diagnosed with schizophrenia are more violent than others. Research indicates that individuals with schizophrenia are not inherently more violent than the general population. They are more likely to be victims of violence rather than perpetrators, especially if they have co-occurring substance use disorders.
B. Biologically male clients are typically diagnosed earlier than biologically female clients. Schizophrenia tends to manifest earlier in males, typically in the late teens to early 20s, whereas females are more often diagnosed in their late 20s to early 30s. This difference is believed to be influenced by hormonal and neurobiological factors.
C. Biologically female clients are likely to be diagnosed earlier than biologically male clients. This statement is incorrect because females generally receive a schizophrenia diagnosis later than males, often in their late 20s or beyond, rather than in adolescence or early adulthood.
D. Diagnosis commonly occurs in individuals under the age of 12. Schizophrenia is extremely rare in children under 12. The typical onset occurs in late adolescence or early adulthood, making early childhood diagnosis highly uncommon.
Correct Answer is B
Explanation
A. Identification phase. In this phase, the nurse and client begin to build a therapeutic relationship and establish trust. The focus is on identifying the client's needs and concerns rather than actively engaging in therapeutic interventions like guided therapy.
B. Exploitation phase. During the exploitation phase, the nurse encourages the client to utilize the resources and therapeutic interventions available to them. This is an appropriate time to suggest guided therapy sessions, as the client is actively engaged in exploring their issues and working toward improvement.
C. Resolution phase. The resolution phase involves evaluating the progress made and preparing for the termination of the nurse-client relationship. It is not the appropriate time to introduce new therapeutic modalities, as the focus shifts to consolidating gains and planning for future support.
D. Orientation phase. The orientation phase establishes the groundwork for the therapeutic relationship, including discussing goals and expectations. While important, it is not the phase where guided therapy sessions would typically be suggested, as the relationship is still in its initial stages.
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