A college senior comes to the mental health clinic with the chief complaint that "My face is so ugly I can't go out in public.". Assessment reveals she has no actual disfigurement and is of average attractiveness
She tells the nurse that she goes to class wearing a scarf draped across her lower face but is concerned that she will be unable to interview for positions after graduation because of her ugly appearance. The patient's symptoms are consistent with the clinical picture of: a. dissociative identity disorder.
b. body dysmorphic disorder.
c. hypochondriasis.
d. malingering.
B
Body dysmorphic disorder involves preoccupation with an imagined defect in appearance. Dissociative identity disorder involves the existence of two or more distinct subpersonalities, each with its own patterns of relating, perceiving, and thinking. Hypochondriasis is defined as a preoccupation with fears of having a serious disease. Malingering is defined as intentionally producing symptoms for a personal gain.
You might also like to view...
A child is prescribed monthly injections of vitamin B12 . When developing the teaching plan for the family, the nurse would focus on which type of anemia?
A) Aplastic anemia B) Pernicious anemia C) Folic acid anemia D) Sickle cell anemia
Which of the following is an assumption of the Western worldview that contributes to lack of consideration of Earth ethics?
a. Understanding that humans are intricately connected with the natural world b. Appreciating that all species have core value and an intrinsic right to exist c. Recognizing that human health is dependent on the health of the Earth d. Believing that humans have a right to do anything they want with nature
King tells us that if the patient and nurse agree on goals, the goals will be attained
A. 99% of the time. B. 90% of the time. C. 76% of the time. D. 50% of the time.
A 12-month-old child attends day care and is seen in a clinic for a second middle ear infection since age 8 months
The parent calls the nurse to report that after the third day of giving amoxicillin (Amoxil), the child continues to have a temperature of 39.5° C and is unable to sleep well because of pain. What will the nurse do? a. Encourage the parent to discuss amoxicillin/clavulanate (Augmentin) with the child's provider. b. Recommend that the parent consider removing the child from day care to reduce exposure to infection. c. Schedule a clinic appointment for the child to clinic to receive ceftriaxone (Rocephin) IM. d. Tell the parent the child will probably need surgery for tympanostomy tubes to reduce infections.