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. Understanding the purpose of the medication regimen is important but might not be the most immediate concern.
B. Improving sleep to at least six hours a night addresses the client's reported insomnia and supports their physical well-being.
C. Describing the reasons for hospitalization might be essential for the client's understanding but might not have the immediate urgency.
D. Meeting the scheduled appointment with the dietitian is important for nutritional concerns but might not directly address the client's reported sleep and weight loss within the first three days of treatment.

A. Disorganization. B. Preoccupation. C. Somatization. D. Reexperience.

Correct Answer is C

Explanation

A. Disorganization typically refers to thought process issues, not physical symptoms like numbness and tingling.
B. Preoccupation implies a focus on certain thoughts or concerns, which might contribute but doesn't fully explain the physical symptoms.
C. Somatization involves the manifestation of psychological distress as physical symptoms, such as experiencing physical sensations like numbness and tingling after a traumatic event.
D. Reexperience is more related to PTSD and involves the reliving of traumatic events through flashbacks or intrusive thoughts, not physical symptoms like numbness and tingling.

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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

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?

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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