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 C

Explanation

A. Thoughts of wanting to hurt himself might be associated with various mental health conditions or medications but aren't specifically linked to olanzapine.
B. Diarrhea is a less common side effect of olanzapine and is not among the more frequently reported side effects.
C. Weight gain is a well-known side effect of olanzapine, with substantial increases reported in some cases.
D. Altered liver function tests are less commonly associated with olanzapine use compared to weight gain.

A. Ask another nurse to talk with the client. B. Document the client's paranoid behavior. C. Postpone the client interview until the next day. D. Attempt to ask the client simple questions.

Correct Answer is D

Explanation

A. Involving another nurse might not necessarily address the client's guarded and suspicious behavior.
B. Documenting the behavior is important for the client's records, but it doesn't address the immediate need for assessment.
C. Postponing the interview might not resolve the client's guarded behavior and could delay necessary assessment.
D. Attempting to ask the client simple questions allows for a non-threatening approach and might gradually build rapport, encouraging the client to engage in conversation.

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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

A male client tells the nurse that he does not want to take the atypical antipsychotic drug olanzapine because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?

Correct Answer is C

Explanation

A client is admitted to the mental health unit and sits in the corner of the day room. When the nurse begins the admission assessment interview, the client is guarded, suspicious, and resists talking. Which action should the nurse implement?

Correct Answer is D

Explanation

The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

In conducting the initial assessment of a preoperative client, the nurse notes that the client's home medications include the monoamine oxidase (MAO) inhibitor phenelzine. Because of this client's medication history, which assessment finding is most important for the nurse to monitor?

A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?

A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?

When the nurse addresses questions to an adult female client who is depressed, the client's responses are delayed. Which intervention should the nurse include in this client's plan of care?

When responding to a call light, the nurse finds a client with aggressive behaviors pacing and restless in the room. The client shouts, "What took you so long to get in here!" Which action should the nurse implement?

Following the visit, what are appropriate actions for the nurse? Select all that apply.

Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?