A 24-year-old female client presents at the clinic with specific complaints of a physical illness. This is the 5th time in 5 months this client has been seen.
The nurse identifies what signs and symptoms that indicate hypochondriasis? (Mark all that apply.)
A) Concerns continue despite medical testing and reassurance that a disease does not exist
B) Multiple symptoms that begin before age 30 and extend over a period of years
C) Creates enough distress to cause difficulty in social or work-related functioning over a period of 6 months or more
D) Also referred to as Briquet's syndrome
E) An excessive fear or preoccupation with having a serious illness that is based on a misinterpretation of somatic signs and symptoms
Question 2
A 13-year-old boy is brought to the emergency department by his parents because he has lost the use of his right upper extremity.
After medical testing, the physician tells the parents that there is no neurologic reason that can be found for the client's loss of functioning. The parents ask the nurse to explain what this means. What would be the nurse's best response?
A) The actual conversion aspect of this disorder refers to the transfer of psychologic conflict or stressors into a perceived paralysis of body parts or sensory functioning.
B) This is not an unusual occurrence in an adolescent when there is trouble in the home.
C) Usually there are related stress or trauma factors that have occurred concurrently with the onset of the symptoms.
D) These types of disease processes are considered pseudoneurologic, or false neurologic.
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