A client complains that despite good medical care, his wife frequently talks about a variety of physical complaints and bodily sensations, including insomnia, anorexia, and pain. The nurse's best response to his concerns is what?
A) "From what I understand, your wife has always been a chronic complainer. Is that true?"
B) "It's part of the anxiety from her illness. It's best to just ignore her complaints."
C) "These are symptoms of cancer and should be investigated immediately."
D) "These are common complaints as we age; conveying concern and support would be helpful."
Ans: D
Hypochondriasis or preoccupation with one's physical and emotional health resulting in bodily or somatic complaints is common in the elderly client. The aging person is rechanneling stress and anxiety into bodily concerns as he or she assumes the "sick" role. Support, concern, and interest conveyed to the client serve as secondary gains, reinforcing a sense of control. The caregiver should assess all complaints thoroughly, in a matter-of-fact manner, and avoid stereotyping the person as a "chronic complainer."
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