Which of the following are indicative of hypochondriasis? (Select all that apply.)

Symptoms most commonly appear in early childhood

First diagnosed following a severe stressor.

Sufferers usually have strained interpersonal relationships

The course of the disorder follows a see-saw pattern and tends to become chronic

More frequent in person exposed to a serious illness in childhood

Answer and Explanation

Correct Answer : C,D

C. Hypochondriasis can strain interpersonal relationships due to excessive preoccupation with health concerns, frequent doctor visits, and seeking reassurance from others.

D. Hypochondriasis often follows a chronic course with periods of intense anxiety about health alternating with periods of relative calm. Despite reassurances and negative medical tests, individuals with hypochondriasis may continue to worry about their health

A. Hypochondriasis typically develops in adulthood rather than childhood. It involves persistent anxiety about health and the interpretation of normal bodily sensations as signs of serious illness. Childhood is less commonly associated with the onset of hypochondriasis.

B. While stress can exacerbate symptoms of hypochondriasis, it is not typically diagnosed immediately following a specific stressor. The disorder often develops gradually over time due to a combination of factors, including anxiety, personality traits, and past experiences with illness.

E. There is no consistent evidence suggesting that exposure to serious illness in childhood predisposes individuals to hypochondriasis. The disorder is more associated with individual psychological factors, cognitive biases, and anxiety sensitivity rather than childhood illness exposure.

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Correct Answer is A

Explanation

A. Lithium is excreted primarily by the kidneys, and its clearance can be affected by changes in fluid balance. It's important for clients taking lithium to maintain a stable and adequate fluid intake to help regulate lithium levels in the body. Stable fluid intake helps maintain electrolyte balance, which is crucial for the proper function of lithium and prevention of adverse effects.

B. Lithium can affect sodium reabsorption in the kidneys. High levels of sodium intake can alter lithium levels in the body, potentially leading to toxicity. Therefore, clients on lithium therapy are often advised to maintain a consistent and moderate level of sodium intake. Excessive dietary salt can interfere with lithium's therapeutic effects.

C. Restricting fluid intake is not recommended unless there are specific medical reasons to do so. Lithium therapy generally requires adequate hydration to maintain kidney function and prevent dehydration, which can affect lithium levels.

D. Exercising in hot weather can lead to increased sweating and fluid loss, which can potentially affect lithium levels by altering hydration status. However, the primary concern during exercise in hot weather is maintaining adequate hydration rather than restricting it.

A. hypochondriasis. B. conversion disorder C. malingering D. somatization.

Correct Answer is B

Explanation

B. Conversion disorder involves the presence of neurological symptoms that are inconsistent with known neurological or medical conditions. These symptoms often manifest as sensory or motor deficits, such as blindness, paralysis, or seizures, without a clear organic basis. The symptoms are not intentionally produced and are not explained by another medical or psychiatric condition.

A. Hypochondriasis, now known as illness anxiety disorder, involves excessive worry or preoccupation with having a serious illness despite medical reassurance and lack of significant physical symptoms. It does not typically involve sensory or neurological symptoms such as blindness.

C. Malingering involves the intentional production or exaggeration of symptoms for secondary gain, such as financial compensation, avoiding military duty, or obtaining drugs. In malingering, there is typically a clear external incentive for the behavior, which is not evident in the soldier's case.

D. Somatization disorder (now termed somatic symptom disorder) involves multiple and recurrent physical symptoms that are distressing and lead to excessive thoughts, feelings, and behaviors related to these symptoms. It does not typically present with sudden onset of sensory deficits like blindness.

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Which of the following are indicative of hypochondriasis? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which instruction should the nurse give a client who is prescribed lithium carbonate (lithium)?

Correct Answer is A

Explanation

A soldier arrives at the airport after completing a combat assignment. He reports a new-onset blindness but was able to identify his wife in the crowd awaiting passenger arrivals. He is likely experiencing symptoms of

Correct Answer is B

Explanation

Which of the following is true of a person who assumes the sick role?

Which of the following are indicative of hypochondriasis? (Select all that apply.)

A depressed client has been prescribed a selective serotonin reuptake inhibitor. Which medication may have been prescribed?

A male client who suffered a stroke completed his physical therapy and is returning to work. The client is in which stage of the illness experience?

A female client with anorexia nervosa and a cardiac condition was prescribed an antidepressant before she regained weight during her treatment course. The nurse should be aware of the possibility of which condition in this client?

A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?

The death rate from anorexia is higher than any other mental illness. Death usually results from which of the following? (Select all that apply.)