Which of the following best describes illness anxiety disorder, formerly known as hypochondriac?
Overreaction of a medical symptom.
Faked symptoms.
Abnormal voluntary motor or sensory dysfunction.
Worry about health despite no symptoms.
The Correct Answer is D
A. Overreaction of a medical symptom. While individuals with illness anxiety disorder (IAD) may misinterpret normal bodily sensations as signs of serious illness, the key feature is excessive health-related worry in the absence of significant symptoms, rather than just overreacting to existing symptoms.
B. Faked symptoms. Feigning symptoms is characteristic of factitious disorder (formerly Munchausen syndrome) or malingering, where individuals intentionally produce or exaggerate symptoms for attention or external gain. In IAD, the concern is genuine but unfounded, rather than intentionally fabricated.
C. Abnormal voluntary motor or sensory dysfunction. This describes conversion disorder (functional neurological symptom disorder), where individuals experience neurological symptoms (e.g., paralysis, blindness, or seizures) without a medical explanation, typically triggered by psychological stress.
D. Worry about health despite no symptoms. Illness anxiety disorder (IAD) is marked by persistent, excessive fear of having a serious illness, despite minimal or no symptoms and repeated medical reassurance. Patients often engage in excessive health-related behaviors (e.g., frequent doctor visits, checking their body) or avoid medical care altogether due to fear of diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Made up" words. This describes neologisms, where individuals create new, nonsensical words that have meaning only to them. It is often seen in schizophrenia and other psychotic disorders.
B. Repeating of another's words. This describes echolalia, a speech disturbance where individuals involuntarily repeat words or phrases spoken by others. It is common in autism spectrum disorder, catatonia, and some neurological conditions.
C. Thought of the speaker wanders off in another direction. Tangentiality occurs when a person's train of thought drifts away from the original topic and never returns to it. Unlike circumstantial speech, where the person eventually returns to the point, tangential thinking leads to incoherent, off-topic responses, commonly seen in schizophrenia, mania, and cognitive disorders.
D. Meaningless rhythm of words. This describes word salad, where speech consists of random, disorganized, and nonsensical words without logical structure. It is a severe thought disorder seen in advanced schizophrenia or delirium.
Correct Answer is C
Explanation
A. Gabapentin is an anticonvulsant and neuropathic pain medication that has no role in treating enuresis. It works by modulating calcium channels and is primarily used for seizures, neuropathic pain, and restless leg syndrome.
B. Laxatives. While constipation can contribute to enuresis by exerting pressure on the bladder, laxatives do not directly treat bedwetting. Instead, addressing constipation may help reduce nocturnal enuresis in some cases.
C. Desmopressin (DDAVP) is the first-line pharmacologic treatment for enuresis. It is a synthetic analog of antidiuretic hormone (ADH, vasopressin) that reduces night-time urine production, making it effective for nocturnal enuresis (bedwetting) in children.
D. SSRIs. Selective serotonin reuptake inhibitors (SSRIs) are used for depression, anxiety, and OCD but have no primary role in enuresis treatment. In some cases, they may actually cause urinary retention or incontinence as a side effect rather than improving enuresis.
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