The client’s family asks the nurse, "What is illness anxiety disorder?" What is the best response by the nurse?
"Illness anxiety disorder is an illness not fully explained by a diagnosed medical condition."
"Illness anxiety disorder is characterized by a variety of symptoms over a number of years."
"Illness anxiety disorder is a persistent preoccupation with getting a serious disease."
"Illness anxiety disorder is the eventual result of excessive worrying about diseases."
The Correct Answer is C
Choice A reason: This describes somatic symptom disorder, not illness anxiety disorder.
Choice B reason: A variety of symptoms over years is more consistent with somatic symptom disorder.
Choice C reason: Persistent preoccupation with having or acquiring a serious illness is the defining feature of illness anxiety disorder. Clients may misinterpret normal sensations and remain preoccupied despite reassurance.
Choice D reason: Excessive worrying may contribute, but illness anxiety disorder is not simply the eventual result of worry; it is a distinct psychiatric diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Asking “Why did you perform CPR?” is inappropriate and potentially judgmental. It implies criticism of the colleague’s actions rather than offering support. This could increase guilt or shame rather than provide therapeutic communication.
Choice B reason: Sharing one’s own unresolved trauma shifts the focus away from the colleague and may burden them further. It is not therapeutic to disclose personal struggles in this context, especially when framed as “I never recovered,” which could discourage the colleague from seeking healing.
Choice C reason: Asking “Tell me what you saw” is an open-ended, therapeutic communication technique. It allows the colleague to express feelings and process the traumatic event in a safe environment. This demonstrates empathy, active listening, and support without judgment or self-disclosure.
Choice D reason: Saying “That is horrible!” validates the event but does not encourage further dialogue. It may shut down communication by focusing only on the negative rather than inviting the colleague to share their experience.
Correct Answer is C
Explanation
Choice A reason: Feeling better physically from talking reflects temporary relief but does not indicate deeper therapeutic progress.
Choice B reason: Labeling others as having emotional problems shows lack of insight and externalization of issues.
Choice C reason: Gaining benefit from listening to others demonstrates engagement, insight, and recognition of shared experiences. This indicates therapy is effective.
Choice D reason: Minimizing one’s own problems reflects denial and comparison, not therapeutic progress.
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