A nurse is working with a client who is displaying disproportionate fear of having cancer. The nurse notes the client is seeking out medical care more frequently, has high anxiety, and believes they have cancer, despite no medical evidence to support this. Which of the following disorders is the client likely experiencing?

Somatic symptom disorder

Factitious disorder

Functional neurological symptom disorder

Illness anxiety disorder

Answer and Explanation

The Correct Answer is D

A. Somatic symptom disorder. This disorder involves excessive concern over physical symptoms that are actually present, even if they are mild. In contrast, illness anxiety disorder is characterized by intense fear of having a serious illness despite the absence of significant physical symptoms.
B. Factitious disorder. Factitious disorder involves deliberately fabricating or inducing symptoms to assume the sick role. In illness anxiety disorder, the client genuinely believes they are ill but does not intentionally create symptoms.
C. Functional neurological symptom disorder. This condition, previously called conversion disorder, involves neurological symptoms (e.g., paralysis, blindness) that cannot be explained by medical findings. Unlike illness anxiety disorder, these symptoms are involuntary and not focused on a fear of disease.
D. Illness anxiety disorder. This disorder, formerly known as hypochondriasis, involves excessive worry about having a severe illness despite little or no medical evidence. The client’s persistent health-related anxiety and frequent medical visits align with this diagnosis.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D","F"]

Explanation

A. "Smoking during pregnancy can place the child at an increased risk for developing anger and aggression." This statement reflects an understanding of how prenatal exposure to harmful substances can affect a child's development and increase the risk of aggressive behaviors later in life.
B. "Clients who live in areas of high pollution are at an increased risk for developing anger and aggression." Research indicates that environmental factors, including pollution, can have negative effects on mental health and behavior, potentially leading to increased aggression.
C. "Families who have financial hardships are at an increased risk for developing anger and aggression." Financial stress can contribute to increased tension and conflict within families, which can lead to higher levels of aggression.
D. "Clients who live in areas of high crime are at an increased risk for developing anger and aggression." Living in high-crime areas can create a sense of fear and instability, potentially leading to aggressive behaviors as a coping mechanism or a learned response to the environment.
E. "Clients who live in suburban areas are at an increased risk for developing anger and aggression." This statement does not accurately reflect evidence-based risk factors for aggression, as suburban areas are not generally associated with higher levels of aggression compared to urban or high-crime areas.
F. "Families who live in low-income housing are at an increased risk for developing anger and aggression." Economic stressors associated with low-income housing can lead to increased conflict and aggression within families, making this statement valid.

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

Correct Answer is B

Explanation

A. Functional neurological symptom disorder. This condition involves neurological symptoms, such as paralysis or seizures, that cannot be explained by medical findings. The symptoms are not related to fear of disease or body checking, making this option irrelevant in this scenario.
B. Illness anxiety disorder. This disorder is characterized by excessive worry about having or acquiring a serious illness, often accompanied by behaviors like repeated body checking. Clients misinterpret normal bodily sensations as signs of severe disease, which aligns with the client's described symptoms.
C. Somatic symptom disorder. This disorder involves experiencing physical symptoms that cause significant distress or impairment, but the focus is on the symptoms themselves rather than an excessive fear of disease. The behaviors described in the question are more indicative of illness anxiety disorder.
D. Factitious disorder. This involves intentionally producing or feigning symptoms for the purpose of assuming the sick role, rather than from a fear of disease. The client’s fear and checking behaviors do not fit this disorder's criteria.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","F"]

Explanation

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?

Correct Answer is B

Explanation

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?

A nurse is caring for a client who has schizophrenia. In which of the following phases of the nurse-client relationship should the nurse suggest a guided therapy session?

A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?

A nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase?

A community health nurse is presenting epidemiological and etiological data related to somatic symptom disorder and related disorders. Which of the following information should the nurse include?

A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?

A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify that which of the following findings are consistent with the client's report? (Select All that Apply.)