A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has illness anxiety disorder?

“I check my breasts for lumps every day, but I’m still really scared about getting breast cancer.”

“I have had several negative pregnancy tests but know they are all wrong.”

“I double-check my pills because think the pharmacist may be putting poison in them.”

“I feel really nervous when my partner goes to work and i am home alone during the day.”

Answer and Explanation

The Correct Answer is A

A. “I check my breasts for lumps every day, but I’m still really scared about getting breast cancer.”: This statement reflects excessive worry about a specific medical condition (breast cancer) despite engaging in frequent checking behaviors. It is consistent with illness anxiety disorder.

B. “I have had several negative pregnancy tests but know they are all wrong.”: This statement suggests a belief that contradicts objective evidence (negative pregnancy tests) and may indicate a somatic symptom disorder or a delusional disorder rather than illness anxiety disorder.

C. “I double-check my pills because I think the pharmacist may be putting poison in them.”: This statement reflects mistrust or paranoia about medications and the intentions of the pharmacist. While it involves health-related concerns, it may be more indicative of paranoid ideation or delusional beliefs.

D. “I feel really nervous when my partner goes to work, and I am home alone during the day.”: This statement describes anxiety related to separation from a partner and being alone, which is not a characteristic feature of illness anxiety disorder. It may be more indicative of generalized anxiety disorder or separation anxiety disorder.

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Correct Answer is C

Explanation

a.Spending equal time with clients regardless of their insurance status: This situation relates more to justice, ensuring fairness and equality in client care, rather than fidelity.

b.This scenario represents the principle of veracity, which involves providing truthful and accurate information to clients. It ensures that clients are fully informed and can give informed consent regarding their treatment.

c.Respecting the decision of clients to refuse to participate in group therapy:Fidelityrefers to the duty to be loyal, faithful, and keep promises. It involves maintaining trust and being reliable in our interactions with clients. This situation aligns with fidelity. Respecting a client's decision to refuse treatment, even if it's something the nurse believes would be beneficial, demonstrates fidelity to the client's autonomy and their right to make choices about their care.

d.This situation reflects the principle of beneficence, which involves taking actions to benefit clients, including continuing education to improve client care and nonmaleficence (avoiding harm).

A. “If I drink alcohol I will become very sick.” B. “If I drink alcohol I will not be able to fall asleep.” C. “If I drink alcohol will lose control of my inhibitions and say something I don’t mean.” D. “If I drink alcohol will have severe mood swings.”

Correct Answer is A

Explanation

A. “If I drink alcohol I will become very sick.”: This statement accurately reflects the purpose of disulfiram. Disulfiram works by causing unpleasant physical symptoms, such as nausea, vomiting, and flushing, if alcohol is consumed, thereby deterring the individual from drinking.

B. “If I drink alcohol I will not be able to fall asleep.”: This statement does not accurately reflect the effects of disulfiram. Disulfiram does not typically affect sleep patterns directly; its effects are related to the ingestion of alcohol.

C. “If I drink alcohol will lose control of my inhibitions and say something I don’t mean.”: This statement does not accurately reflect the effects of disulfiram. Disulfiram does not directly affect inhibitions or speech patterns; its effects are related to physical symptoms caused by alcohol ingestion.

D. "If I drink alcohol will have severe mood swings.”: This statement does not accurately reflect the effects of disulfiram. Disulfiram does not typically cause mood swings; its effects are related to physical symptoms induced by alcohol ingestion.

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A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has illness anxiety disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a prescription for disulfiram. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is A

Explanation

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