A patient who is 5 feet 9 inches tall and weighs 160 pounds believes that her size-9 feet are enormous compared with the rest of her body
She has visited orthopedic surgeons to see if surgery could reduce the length of her feet, and she spends hours trying to buy shoes that make her feet look smaller. In social situations, she sits with her feet concealed under a table or wears long skirts to hide them. The nurse can assess that the patient's symptoms are consistent with: a. hypochondriasis.
b. somatoform pain disorder.
c. body dysmorphic disorder.
d. depersonalization disorder.
C
Body dysmorphic disorder refers to preoccupation with some imagined defect in appearance in a normal-appearing person. The patient's feet are proportional to the rest of her body. Hypochondriasis involves misinterpreting physical symptoms as signs of a serious medical disorder. Somatoform pain disorder involves the presence of pain not associated with a medical disorder. Depersonalization disorder involves alteration in perception of self, such as feeling mechanical or unreal.
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