A nurse is discussing mental health with a client. Which of the following statements by the client requires follow-up by the nurse?

"My boss often asks me to work overtime, but I have to refuse the extra hours due to my responsibilities at home."

"The demands of raising two young children by myself are often overwhelming, and I sometimes need some alone time to recharge."

"On the weekends when my kids are with their other parent, I often just lay in bed all day and cry, because I feel hopeless."

"Work can be extremely stressful at times, so I often need to take a walk during my lunch break."

Answer and Explanation

The Correct Answer is C

Rationale:

A. This statement reflects a healthy boundary-setting behavior, where the client recognizes their limits and makes decisions accordingly.

B. This reflects a healthy coping mechanism, where the client acknowledges their stress and takes time to recharge, which is important for mental health.

C. This statement indicates a possible depressive symptom, as feeling hopeless and withdrawing from activities (like staying in bed and crying) can be signs of depression. This requires follow-up to assess the client's mental health and provide appropriate support.

D. Taking a walk during stressful times is a positive coping strategy that helps manage stress and maintain mental health.

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Correct Answer is A

Explanation

Rationale:

A. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for anxiety disorders, including illness anxiety disorder. It helps to manage the anxiety symptoms associated with the condition.

B. Haloperidol is an antipsychotic medication used to treat schizophrenia and other psychotic disorders but is not typically prescribed for illness anxiety disorder.

C. Olanzapine is an antipsychotic medication used to treat schizophrenia and bipolar disorder but is not generally used for illness anxiety disorder.

D. Carbamazepine is an anticonvulsant and mood stabilizer used to treat bipolar disorder and epilepsy, but it is not indicated for illness anxiety disorder.

A. Somatic symptom disorder B. Functional neurological symptom disorder C. Factitious disorder D. Illness anxiety disorder

Correct Answer is C

Explanation

Rationale:

A. Somatic symptom disorder involves physical symptoms without a clear medical cause, but the client's intention to be the center of attention is more characteristic of factitious disorder.

B. Functional neurological symptom disorder involves neurological symptoms with no identifiable neurological basis, which does not align with the client’s motivations.

C. Factitious disorder involves the intentional production of symptoms to assume the sick role and gain attention, which aligns with the client's desire to be the center of a dramatic medical situation.

D. Illness anxiety disorder involves preoccupation with having a serious illness despite a lack of symptoms but does not involve intentionally causing harm.

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A nurse is discussing mental health with a client. Which of the following statements by the client requires follow-up by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has illness anxiety disorder. Which of the following medications should the nurse expect the provider to prescribe?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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