Author Question: A person comes to the clinic reporting, I wear a scarf across my lower face when I go out but ... (Read 13 times)

moongchi · **on:** Jul 19, 2018

A person comes to the clinic reporting, I wear a scarf across my lower face when I go out but because of my ugly appearance. Assessment reveals an average appearance with no actual disfigurement. Which problem is most likely?

a. Dissociative identity disorder
b. Body dysmorphic disorder
c. Pseudocyesis
d. Malingering

Question 2

A nurse counsels a patient diagnosed with body dysmorphic disorder. Which nursing diagnosis would be a priority for the plan of care?

a. Anxiety
b. Risk for suicide
c. Disturbed body image
d. Ineffective role performance

zenzy · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
Body dysmorphic disorder involves a 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. Pseudocyesis is the false belief that one is pregnant. Malingering is intentionally producing symptoms for a personal gain.

Answer to Question 2

ANS: B
A high risk of completed suicide exists in patients with body dysmorphic disorder. Safety is always a high priority for the nurse; in this instance, the plan of care should include an awareness of the risk for self-inflicted harm.