A client who is concerned that she may have serious heart disease seeks help at the mental health
center after a referral from the internist who told her that she has no physical illness.
The client
reports she has had tightness in her chest and the sensation of her heart missing a beat. Because of
her concern over her symptoms, she has missed much time from work over the past 2 years. Her
social life has been severely restricted because she believes she must rest each evening. The client
can be assessed as having symptoms consistent with
a. somatization disorder.
b. dysthymic disorder.
c. antisocial disorder.
d. hypochondriasis.
ANS: D
Hypochondriasis, according to the DSM-IV-TR, 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. Option A: Somatization disorder involves a
variety of physical symptoms. Option B: Dysthymic disorder is a disorder of lowered mood. Option
C: Antisocial disorder applies to a personality disorder in which the individual has little regard for
the rights of others.
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The nurse would expect clients with dissociative disorders to have what in common with clients with anxiety disorders? Anxiety that is:
1. So disabling that they are totally nonfunctional. 2. So disabling that their functioning is adversely affected. 3. Objective. 4. Nonthreatening.
Which of the following statements about defamation are true? (Select all that apply.)
a. Defamation refers only to the spoken word. b. Defamation is a communication that damages a person's reputation. c. Defamation must be heard or seen by at least one other person. d. The plaintiff is not required to prove damages. e. The communication must be proven false and made with malice.
The nurse receives a patient having an acute myocardial infarction (MI) to the emergency department. What drug will the nurse administer before transferring the patient to a larger facility?
A) Anagrelide (Agrylin) B) Clopidogrel (Plavix) C) Ticlopidine (Ticlid) D) Tenecteplase (TNKase)
A patient asks the nurse why his hip fracture (head of the femur) bone has died (osteonecrosis). The nurse responds based on which of the following pathophysiological principles?
A) All fractured bones interrupt blood supply and thereby results in death of the bone no matter where it is located. B) Most of the time when the head of the femur breaks, the entire neck region is disconnected to the rest of the bone so the blood vessels are severed. C) Since the head of the femur has only limited collateral circulation, interruption in the blood flow from the fracture causes necrosis and irreversible damage. D) When the femur head breaks, it dislocates and crushes the surrounding area causing the blood vessels to be occluded.