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 D

Explanation

A. Discussing alternative strategies is important but might not be the initial priority without first assessing the client's physical health.
B. Providing a supportive environment for meals is crucial, but assessing the client's physical status should take precedence.
C. Monitoring for vomiting after meals is important, but a comprehensive assessment of physical health should come first.
D. Assessing weight, vital signs, and electrolytes is crucial in determining the client's current physical health status and any potential risks associated with bulimia.

A. Shift attention from self to the needs and requests of others B. Relax and reduce the amount of effort to solve the problem. C. Focus on small achievable tasks, not taxing problems. D. Concentrate on and ventilate emotions when distressed.

Correct Answer is C

Explanation

A. Shifting attention from self to others might strain the individual further as they might not have the emotional energy for it.
B. Relaxation without addressing underlying issues won't help in managing depression and might exacerbate the situation.
C. Focusing on small achievable tasks helps in breaking down overwhelming problems into manageable parts, aiding in a sense of accomplishment.
D. Ventilating emotions might be beneficial, but solely relying on this strategy might not address the core issue of handling responsibilities.

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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

A female client with bulimia is admitted to the mental health unit after she disclosed to a friend that she purges after meals. Which intervention should the nurse implement first?

Correct Answer is D

Explanation

A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?

Correct Answer is C

Explanation

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?

A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?

A client is admitted to the mental health unit and sits in the corner of the day room. When the nurse begins the admission assessment interview, the client is guarded, suspicious, and resists talking. Which action should the nurse implement?

A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and lack of motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?

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?

The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?

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