MENTAL HEALTH NUR 2459 MENTAL HEALTH EXAM 3.

The nurse is assessing a patient who has been diagnosed with hypochondriasis. Which clinical manifestation would the nurse most likely assess in this patient? Selected Answer: Misinterpretation of physical sensations as evidence of serious illness Answers: Loss of interest in formerly pleasurable activities Repetitive, time-consuming rituals Deliberate fabrication of symptoms for an obvious benefit Misinterpretation of physical sensations as evidence of serious illness Response Feedback: People with hypochondriasis experience severe distress, and their ability to function in personal, social, and occupational roles often is impaired. Most patients with hypochondriasis present with somatic symptoms as well as total preoccupation with the belief of having a devastating sickness or disease. These individuals are thought to have prominent health anxiety (hypochondriasis), another form of hypochondriasis. They have minimal or no somatic symptoms but reveal a disproportionate or excessive preoccupation with having a serious illness.  Question 2 1 out of 1 points What is the priority nursing diagnosis for a patient who is experiencing fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations? Selected Answer: Risk for injury related to altered cerebral function, misperception of the environment, and unsteady gait Answers: Bathing/hygiene self-care deficit related to altered cerebral function, as evidenced by confusion and inability to perform personal hygiene tasks Risk for injury related to altered cerebral function, misperception of the environment, and unsteady gait Disturbed thought processes related to medication intoxication, as evidenced by confusion, disorientation, and hallucinations Fear related to sensory perceptual alterations, as evidenced by hiding from hallucinated dog and asking nurse to remove hallucinated bugs from legs Response Feedback: The physical safety of the patient is of highest priority among the diagnoses given. Many opportunities for injury exist when a patient misperceives the environment as distorted, threatening, or harmful; when the patient exercises poor judgment; and when the patient’s sensorium is clouded. The other diagnoses are concerns, but are lower priorities.