The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?

Increased talkativeness and pressure to keep talking.

Illogical response to questions asked.

Poor concentration and slow thought process.

Ritual daily breast exams for fear of cancer.

Answer and Explanation

The Correct Answer is D

A.   Increased talkativeness and pressure to keep talking might be seen in conditions like mania or anxiety, not specifically illness anxiety disorder.
B.   Illogical responses could be indicative of thought disorders but are not characteristic of illness anxiety disorder.
C.   Poor concentration and slow thought processes might suggest cognitive issues but are not specifically linked to illness anxiety disorder.
D.   Ritualistic behaviors such as daily breast exams due to fear of cancer are characteristic of illness anxiety disorder (previously known as hypochondriasis).

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Correct Answer is B

Explanation

A. Familial history of mental illness is important but might not directly impact the initiation of sertraline treatment.
B. Medication history is the most important information to obtain before starting sertraline. This includes any current medications the client is taking, especially other antidepressants, anticoagulants, or medications that may interact with sertraline. Sertraline is a selective serotonin reuptake inhibitor (SSRI), and it can interact with other medications, such as monoamine oxidase inhibitors (MAOIs) or other serotonergic drugs, leading to serious side effects like serotonin syndrome.

C. While current weight may be important for monitoring side effects such as weight gain, it is not as immediately critical as understanding the client’s medication history, particularly regarding potential drug interactions.

D. A history of heart disease is relevant to the overall health assessment, but sertraline is generally considered safe for most individuals with heart disease. However, the medication history is more crucial because of potential drug interactions.

A. Involve client in a daily exercise program. B. Ask the client to describe her depression. C. Spend time sitting in silence with the client. D. Observe for signs of possible psychosis.

Correct Answer is C

Explanation

A. Initiating an exercise program might be helpful, but it doesn't directly address the delayed responses or aid in communication.
B. Asking the client to describe her depression might be beneficial, but it may not be suitable if the client's responses are delayed.
C. Spending time in silence with the client can create a safe and supportive environment, allowing the client to communicate at her own pace without feeling pressured.
D. Observing for signs of psychosis is important but doesn't directly address the delayed responses.

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The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?

Correct Answer is B

Explanation

When the nurse addresses questions to an adult female client who is depressed, the client's responses are delayed. Which intervention should the nurse include in this client's plan of care?

Correct Answer is C

Explanation

A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?

A preschool-aged girl tells the school nurse that her hair hurts. The nurse finds that the child's hair has been arranged to cover several small bald spots. Which finding indicates to the nurse that the hair loss is not disease-related?

A nurse who is co-leading group therapy recognizes that a client is beginning to experience severe levels of anxiety. Which intervention is best for the nurse to implement?

A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?

The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

An antidepressant medication is prescribed for a client who reports sleeping only four hours in the past two days and a weight loss of nine pounds within the last month. Which client goal is most important to achieve within the first three days of treatment?

The nurse is assessing a client whose spouse died of a stroke two weeks ago and who reports having numbness and tingling on the right side of the body. The nurse should consider the client's symptoms may likely be due to which condition?