NCLEX Topics
4y
3. A patient with a diagnosis of hypochondriasis has made multiple clinic visits
and undergone diagnostic tests for “cancer,” with no evidence of organic
disease. Today he declares, “I have a brain tumor. I can feel it growing. My
appointment is tomorrow, but I can’t wait!” What is the most therapeutic
response?
1. Present reality: “Sir, you have been seen many times in this clinic and had
many diagnostic tests. The results have always been negative.”
2. Encourage expression of feelings: “Let me spend some time with you. Tellme about what you are feeling and why you think you have a brain
tumor.”
3. Set boundaries: “Sir, I will take your vital signs, but then I am going to call
your case manager so that you can discuss the scheduled appointment.”
4. Respect the patient's wishes: “Sir, sit down and I will make sure that you
see the health care provider right away. Don’t worry; we will take care of
you.”
Correct answer! 3
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