A client who is 5 feet 7 inches tall and weighs 160 pounds believes that her size-9 feet are enormous
compared with the rest of her body. She has visited orthopedic surgeons to see if surgery to reduce
the length of her feet is possible.
She spends hours trying to buy shoes that make her feet look
smaller, and she prefers social interactions where she can sit with her feet concealed under a table.
The nurse can assess that the client's symptoms are consistent with
a. hypochondriasis.
b. somatoform pain disorder.
c. body dysmorphic disorder.
d. depersonalization disorder.
ANS: C
Body dysmorphic disorder refers to preoccupation with some imagined defect in appearance in a
normal-appearing person. The client's feet are proportional to the rest of her body. Option A:
Hypochondriasis involves misinterpreting physical symptoms as signs of a serious medical disorder.
Option B: Somatoform pain disorder involves the presence of pain not associated with a medical
disorder. Option D: Depersonalization disorder involves alteration in perception of self, such as
feeling mechanical or unreal.
You might also like to view...
The nurse is delegating a.m. care to unlicensed personnel. Appropriate instructions regarding skin care include: Standard Text: Select all that apply
1. Dry each foot carefully. 2. Wash under the breasts and allow them to air-dry. 3. Retract the prepuce to expose the glans penis for cleaning. 4. Wipe the perinea of males and females from front to back. 5. Trim toenails.
Why do student research proposals usually require greater detail than those developed for review by funding organizations?
a. Student research proposals have a minimum page limit, because faculty want their students to experience the worst-case scenario while in school, where support is readily available. b. Institutional review boards are very apprehensive about students performing research, and for this reason they require more detailed justification than do other proposals. c. Students do not write well, so their proposals tend to be more involved. d. The student's proposal often contains the first three or four chapters of the student's thesis or dissertation; funding proposals usually contain a much less detailed literature review.
The nurse is providing home care for a patient with an infection that is not improving. The patient refuses to see an infectious disease specialist. What should the nurse include in the do-cumentation of the patient teaching provided?
a. The discussion about the consequences of refusing to see a specialist and the pa-tient's response b. The explanation that avoiding the special-ist will most likely lead to a terrible out-come c. A hopeful explanation that this will most likely be the last medical specialist that the patient will need to see d. The recommendation that the patient should discuss the decision with the fami-ly
Which of the following is not a cause of colonic constipation?
a. a diet low in fiber c. diverticular disease b. dehydration d. infectious agents