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. Disorganization typically refers to thought process issues, not physical symptoms like numbness and tingling.
B. Preoccupation implies a focus on certain thoughts or concerns, which might contribute but doesn't fully explain the physical symptoms.
C. Somatization involves the manifestation of psychological distress as physical symptoms, such as experiencing physical sensations like numbness and tingling after a traumatic event.
D. Reexperience is more related to PTSD and involves the reliving of traumatic events through flashbacks or intrusive thoughts, not physical symptoms like numbness and tingling.

A. "The snakes on the wall are going to eat me." B. "The voices are telling me to kill the next person I see." C. "The nurse at night is trying to poison me with pills. D. "The fire is burning my skin away right now."

Correct Answer is C

Explanation

A. "The snakes on the wall are going to eat me" indicates a hallucination, specifically a visual hallucination. Hallucinations involve perceiving something that is not present, such as seeing or hearing things that others do not. This statement does not confirm delusions.

B. Hearing voices instructing harm doesn't confirm delusions but auditory hallucinations.

C. "The nurse at night is trying to poison me with pills" reflects a delusion, specifically a persecutory delusion. Delusions are false, fixed beliefs that are not based in reality and are resistant to reasoning or contradictory evidence. This statement indicates a belief that someone is attempting harm, which is characteristic of delusional thinking.

D. Believing fire is burning the skin could suggest a hallucination involving sensations, not necessarily a delusion.

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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

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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