Author Question: A client who is concerned that she may have serious heart disease seeks help at the mental health ... (Read 49 times)

jerry coleman · **on:** Jul 19, 2018

A client who is concerned that she may have serious heart disease seeks help at the mental health
center after a referral from the internist who told her that she has no physical illness.

The client
reports she has had tightness in her chest and the sensation of her heart missing a beat. Because of
her concern over her symptoms, she has missed much time from work over the past 2 years. Her
social life has been severely restricted because she believes she must rest each evening. The client
can be assessed as having symptoms consistent with
a. somatization disorder.
b. dysthymic disorder.
c. antisocial disorder.
d. hypochondriasis.

Question 2

The nurse caring for a client makes the assessment that the client is suspicious of others and
frequently engages in manipulation of others. To plan care, the nurse should consider these traits as
being related to Freud's

a. oral stage.
b. anal stage.
c. phallic stage.
d. genital stage.

frre432 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
Hypochondriasis, according to the DSM-IV-TR, involves preoccupation with fears of having a
serious disease even when evidence to the contrary is available. The preoccupation causes
impairment in social or occupational functioning. Option A: Somatization disorder involves a
variety of physical symptoms. Option B: Dysthymic disorder is a disorder of lowered mood. Option
C: Antisocial disorder applies to a personality disorder in which the individual has little regard for
the rights of others.

Answer to Question 2

ANS: A
Each of the behaviors mentioned develops as the result of attitudes formed during the oral stage,
when an infant first learns to relate to the environment. Option B: Anal stage traits include
stinginess, stubbornness, orderliness, or their opposites. Option C: Phallic stage traits include
flirtatiousness, pride, vanity, difficulty with authority figures, and difficulties with sexual identity.
Option D: Genital stage traits include the ability to form satisfying sexual and emotional
relationships with members of the opposite sex, emancipation from parents, a strong sense of
personal identity, or the opposites of these traits.