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.
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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Explaining the phenomenon of opioid tolerance and receptor response reduction with continued use helps the client understand why increased dosage might be needed.
B. Collecting information on opioid sources is important but doesn't directly address the issue of increased tolerance.
C. Detoxification might be an extreme measure and is not the first step in addressing increased opioid tolerance.
D. Discussing the dangers of opioid misuse is essential, but it doesn't address the specific issue of increased tolerance for pain relief.
Correct Answer is D
Explanation
Rationale for A: Erythema of localized lesions may indicate an inflammatory condition or infection, which could suggest that the hair loss is disease-related.
Rationale for B: Evidence of patches of lost haircan be due to cosmetic products or abuse hence not conclusive
Rationale for C: Episodic complaints of pruritus could indicate an allergic reaction or infestation, which suggests a possible disease-related cause for the hair loss.
Rationale for D: Ecchymotic blood accumulations suggest trauma to the scalp.
C. Episodic complaints of pruritus (itching) might suggest irritation but do not conclusively indicate the hair loss is not disease-related.
D. Ecchymotic blood accumulations indicate bruising but are not typically associated with hair pain or loss.
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