A patient with fears of serious heart disease was referred to the mental health center by a cardiologist. Extensive diagnostic evaluation showed no physical illness. The patient says, "My chest is tight, and my heart misses beats
I'm often absent from work. I don't go out much because I need to rest." Which health problem is most likely?
a. Dysthymic disorder
b. Somatic symptom disorder
c. Antisocial personality disorder
d. Illness anxiety disorder (hypochondriasis)
ANS: D
Illness anxiety disorder (hypochondriasis) involves preoccupation with fears of having a serious disease even when evidence to the contrary is available. The preoccupation causes impairment in social or occupational functioning. Somatic symptom disorder involves fewer symptoms. Dysthymic disorder is a disorder of lowered mood. Antisocial disorder applies to a personality disorder in which the individual has little regard for the rights of others. See relationship to audience response question.
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A client tells the nurse that he is having difficulty sleeping. He says, "I don't want to use sleeping pills, but I'm thinking about getting some melatonin
" Which of the following is most important for the nurse to include in a response to the client? a. "Melatonin is an effective treatment for certain sleep disorders." b. "Melatonin appears to be a relatively safe sleep aid for most people." c. "You may experience some side effects, such as elevated blood pressure." d. "Before taking melatonin, you should consult your primary care provider."
When planning interventions for a patient who has Alzheimer's disease, the nurse knows that patients with this disorder:
A. Should be able to remember teaching that was done yesterday. B. Will most likely havememory impairment particularly for recent events. C. Will most likely continue to be able to perform activities of daily living like dressing and grooming. D. The disease often stabilizes at one level.
The set of infant's behaviors and characteristics that call forth a corresponding set of maternal behaviors and characteristics is called:
1. mutuality. 2. bonding. 3. claiming. 4. acquaintance.
A nurse caring for a patient with a history of seizures observes a sudden muscle contraction in the right arm that lasts approximately 1 second
The nurse recognizes this finding as a myoclonic seizure and anticipates that the prescriber will order which medication? a. Phenytoin (Dilantin) b. Lorazepam (Ativan) c. Ethosuximide (Zarontin) d. Valproic acid (Depakote)