A college senior comes to the mental health clinic with the chief complaint that "My face is so ugly I

can't go out in public.". Assessment reveals she has no actual disfigurement and is of average
attractiveness.

She tells the nurse that she goes to class wearing a scarf draped across her lower face
but is concerned that she will be unable to interview for positions after graduation because of her
ugly appearance. The client's symptoms are consistent with the clinical picture of
a. dissociative identity disorder.
b. body dysmorphic disorder.
c. hypochondriasis.
d. malingering.


ANS: B
Body dysmorphic disorder involves preoccupation with an imagined defect in appearance. Option A:
Dissociative identity disorder involves the existence of two or more distinct subpersonalities, each
with its own patterns of relating, perceiving, and thinking. Option C: Hypochondriasis is defined by
preoccupation with fears of having a serious disease or the idea that one has a serious disease.
Option D: Malingering is defined as intentionally producing symptoms for a personal gain.

Nursing

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A patient asks to take a picture with the nurse to post on Facebook. Which response should the nurse make?

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What factors are taken into account when deciding which category of suture to use?

There are two broad categories of suture material: absorbable and non-absorbable. What will be an ideal response?

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