Author Question: A patient who is 5 feet 9 inches tall and weighs 160 pounds believes that her size-9 feet are ... (Read 187 times)

scienceeasy · **on:** Jul 19, 2018

A patient who is 5 feet 9 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 could reduce the length of her feet, and she spends hours trying to buy shoes that make her feet look smaller. In social situations, she sits with her feet concealed under a table or wears long skirts to hide them. The nurse can assess that the patient's symptoms are consistent with: a. hypochondriasis.
b. somatoform pain disorder.
c. body dysmorphic disorder.
d. depersonalization disorder.

Question 2

A single parent who is employed full time complains of feelings of inadequacy related to work and family. The parent seeks help from a therapist who specializes in cognitive behavioral therapy. The therapist will treat the parent by:

a. discussing ego states the parent experiences.
b. negatively reinforcing undesirable behaviors.
c. promoting assertive behavior at home and work.
d. helping the parent identify and change faulty thinking.

ebe · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Body dysmorphic disorder refers to preoccupation with some imagined defect in appearance in a normal-appearing person. The patient's feet are proportional to the rest of her body. Hypochondriasis involves misinterpreting physical symptoms as signs of a serious medical disorder. Somatoform pain disorder involves the presence of pain not associated with a medical disorder. Depersonalization disorder involves alteration in perception of self, such as feeling mechanical or unreal.

Answer to Question 2

D
Cognitive therapy emphasizes the importance of changing erroneous ways people think about themselves. Once faulty thinking is changed, the individual's behavior changes. The distracters describe a psychoanalytic approach and behavior modification.