A woman is 57, 160 lbs, and wears a size 8 shoe. She says, My feet are huge. Ive asked three orthopedists to surgically reduce my feet. This person tries to buy shoes to make her feet look smaller and, in social settings, conceals both feet under a table or chair. Which health problem is likely?

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Psychobiologic Disorders Med Surg 2 Questions

Question 1 of 5

A woman is 57, 160 lbs, and wears a size 8 shoe. She says, My feet are huge. Ive asked three orthopedists to surgically reduce my feet. This person tries to buy shoes to make her feet look smaller and, in social settings, conceals both feet under a table or chair. Which health problem is likely?

Correct Answer: B

Rationale: Body dysmorphic disorder refers to a preoccupation with an imagined defect in appearance in a normalappearing person. The patients feet are proportional to the rest of the body. In obsessive-compulsive or related disorder due to a medical condition, the individuals symptoms of obsessions and compulsions are a direct physiological result of a medical condition. Social anxiety disorder, also called social phobia, is characterized by severe anxiety or fear provoked by exposure to a social or a performance situation that will be evaluated negatively by others. People with separation anxiety disorder exhibit developmentally inappropriate levels of concern over being away from a significant other.

Question 2 of 5

A patient is experiencing moderate anxiety. The nurse encourages the patient to talk about feelings and concerns. What is the rationale for this intervention?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse who was not promoted said, The nurse manager had a headache the day I was interviewed. Which defense mechanism is evident?

Correct Answer: C

Rationale: Projection is the hallmark of blaming, scapegoating, prejudicial thinking, and stigmatizing others. Conversion involves the unconscious transformation of anxiety into a physical symptom. Introjection involves intense, unconscious identification with another person. Splitting is the inability to integrate the positive and negative qualities of oneself or others into a cohesive image.

Question 4 of 5

A person who feels unattractive repeatedly says, Although Im not beautiful, I am smart. This is an example of:

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A woman just received notification that her husband died. She approaches the nurse who cared for him during his last hours and says angrily, 'If you had given him your undivided attention, he would still be alive.' How should the nurse analyze this behavior?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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