How should a nurse psychotherapist who is operating from a psychoanalytic paradigm explain the presence of hypochondriasis to a client?
A) Physical complaints are the expression of low self-esteem and feelings of worthlessness because it is easier to believe that something is wrong with the body than to believe that something is wrong with the self.
B) Somatic complaints are often reinforced when the sick role relieves the individual from the need to deal with a stressful situation, whether it is within society or within the family.
C) When emotional arousal precipitates somatic symptoms, the symptoms are incorrectly assessed and misinterpreted and negative cognitive meanings are attached to them.
D) Evidence indicates an increased prevalence of hypochondriasis among identical twins and other first-degree relatives.
Question 2
A 39-year-old male client is admitted to a detoxification unit for treatment of alcohol withdrawal. He has been on a binge and consumed nothing except beer for the past 2 weeks. He is estranged from his wife and children..
Because of his alcohol use, he has also recently lost his job, which was the sole source of income for the family. His wife refuses to return home until he commits to sobriety. Which nursing diagnoses are relevant to this situation? Select all that apply.
A) Risk for injury related to central nervous system (CNS) agitation
B) Imbalanced nutrition related to inadequate intake
C) Dysfunctional family processes related to alcoholism
D) Ineffective role performance related to loss of job
E) Fluid volume excess related to binge drinking
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