A patient reports fears of having cervical cancer and says to the nurse, "I've had Pap smears by six different doctors. The results were normal, but I'm sure that's because of errors in the laboratory." Which disorder would the nurse suspect?
a. Conversion (functional neurological) disorder
b. Illness anxiety disorder (hypochondriasis)
c. Somatic symptom disorder
d. Factitious disorder
ANS: B
Patients with illness anxiety disorder have fears of serious medical problems, such as cancer or heart disease. These fears persist despite medical evaluations and interfere with daily functioning. There are no complaints of pain. There is no evidence of factitious or conversion disorder.
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A nurse is providing discharge instructions to a client recently diagnosed with obsessive-compulsive disorder (OCD) and prescribed Fluvoxamine (Luvox). Which statement made by the client indicates to the nurse that the client understands the instructions?
A) "I am glad the physician chose this medication because it does not have any side effects." B) "I should continue taking this medication and in 1-2 years I can stop taking it." C) "I should continue taking this medication and in 1-2 years my physician may taper me off gradually." D) "Even though I don't think this medication is for my OCD I will take it because the physician wants me to."
The Joint Commission (TJC) documented that patient education was deficient on several medical-surgical units of a local hospital. A nursing committee was formed to address this problem and focused on what likely nursing intervention?
1. Providing educational pamphlets about medications to the patients. 2. Asking the physicians to provide medication education to the patients. 3. Discussing medications each time they are administered to patients. 4. Requesting more frequent pharmacy consults for the patients.
Which causes confusion?
a. adrenergic b. adrenergic blocker c. cholinergic d. anticholinergic
Unsafe sexual practices remain high among young people. Which of the following actions should the nurse initially undertake to address unsafe sexual practices with a client?
a. Document the unsafe practices. b. Complete a physical assessment. c. Decide what strategies would work best for the client. d. Assess the circumstances that contribute to the unsafe practices.