A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?
Somatic symptom disorder
Illness anxiety disorder.
Factitious disorder
Functional neurological symptom disorder
The Correct Answer is B
B Illness anxiety disorder (formerly known as hypochondriasis) is a mental health condition characterized by excessive worry or fear about having a serious illness, despite having little or no medical evidence to support the presence of the illness.
A. The focus in somatic symptom disorder is on the physical symptoms themselves rather than the fear of having a serious illness.
C. Individuals with factitious disorder may feign symptoms, manipulate test results, or induce illness in themselves to gain attention or care from healthcare providers.
D. The primary characteristic of functional neurological symptom disorder is the presence of neurological symptoms rather than excessive fear of illness or body checking behaviors.
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Related Questions
Correct Answer is B
Explanation
B. Panic-level anxiety is characterized by intense and overwhelming feelings of fear and apprehension. Physical symptoms often accompany this level of anxiety, and shakiness or tremors are common manifestations. The individual may experience trembling or shaking of the hands, voice, or other parts of the body due to heightened physiological arousal.
A. Voice tremors can occur in individuals experiencing anxiety, particularly when they are feeling highly stressed or nervous. However, shakiness or trembling in the body is more characteristic of panic level anxiety.
C. Depersonalization involves feelings of detachment from oneself or one's surroundings, as if observing oneself from outside the body or feeling disconnected from reality.
D Poor concentration or difficulty focusing can occur in individuals experiencing anxiety, including panic level anxiety. However, it is more of a cognitive symptom rather than a physical manifestation such as shakiness or tremors.
Correct Answer is A
Explanation
A. Allowing the client to control the conversation empowers them to share their experience at their own pace and in their own way. This approach fosters trust and facilitates open communication between the nurse and the client.
B. While gathering relevant information about the assault may be necessary for documentation and reporting purposes, it's important to approach the topic with sensitivity and respect for the client's emotional well-being.
C. Pressuring the client to report the incident against their will can further traumatize them and undermine their sense of control. Reporting the assault is a personal decision that should be made by the client based on their individual circumstances and preferences.
D. Touch can be a powerful form of nonverbal communication that conveys empathy, support, and reassurance. However, it's important to obtain the client's consent before initiating any form of physical contact, especially considering the sensitive nature of the situation.
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