Mr. Y visits his elderly mother weekly at an assisted living facility 70 miles from his home. Mr. Y has noted that in recent months his mother frequently fixates their conversations on the treatment and prognosis of her various health challenges
Mr. Y admits to his mother's nurse that as an only child he now feels an overwhelming guilt around the infrequency of his visits, a fact that his mother constantly emphasizes. How can the nurse best respond to Mr. Y's concerns?
A) "It's not uncommon for some older people to emphasize their ailments in order to manipulate others' behavior in some way.".
B) "If your mother's health has become such a priority to her, it may be time to consider placing her in long-term care rather than assisted living.".
C) "Your best strategy is to ignore anything that your mother says about her failing health and her physical challenges.".
D) "This is often a sign of an underlying cognitive deficit that remains undiagnosed; I'll be sure to mention this to your mother's physician.".
A
Feedback:
Some older people find hypochondriasis an effective means of controlling a spouse or children. Changing her residence or ignoring her would not likely be appropriate responses to her behavior, and hypochondriasis is not noted to be commonly rooted in neurological condition.
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