Following a long history of multiple visits to community clinics and emergency departments, a woman has been diagnosed with hypochondriasis
During this current visit to the emergency department, the client has just been informed that diagnostic testing and assessment reveal no severe illness. The client, however, persists in verbalizing varied physical complaints. How should the nurse respond to this?
A) Have a different member of the care team present the test and assessment results to the client.
B) Facilitate a repeat of the previous diagnostic testing in order to appease the client.
C) Set limits with the client about her complaints.
D) Feign an assessment of the client in order to calm her anxiety.
Ans: C
If a client with the diagnosis of hypochondriasis has been told that he or she has no life-threatening or severe illness, but the client continues to verbalize clinical symptoms, limit-setting is used. A "false" assessment is unethical, and repeating diagnostic testing reinforces the client's behavior. Having diagnostic results presented by another member of the care team is unlikely to eliminate the client's concerns.
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