A patient is being evaluated for the diagnosis of hypochondriasis. Which assessment ob-servation of the patient would serve to confirm this diagnosis?
a. Reports, "Pain in my back is certainly from a spinal tumor."
b. Patient expresses no concern over her sudden loss of hearing.
c. Patient shows insight into the role stress plays in the illness.
d. Reports, "I don't like doctors and so I haven't been to one in years."
ANS: A
With this disorder, the individual focuses on fears of having or the idea of having a serious medical disorder on the basis of his or her misinterpretation of bodily symptoms such as as-suming pain is the result of a tumor. La belle indifference, showing little or no concern, oc-curs with conversion disorders. Individuals with hypochondriasis make multiple visits to physicians with health concerns. Showing insight into the condition would not be displayed at the time of diagnosis, since such improvement is a result of appropriate treatment.
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