Registered Practical Nurse (RPN) Practice Test

What is an effective nursing intervention for a patient with hypochondriasis?

1. Encouraging physical activity

2. Listening and validating the patient's report of symptoms

3. Suggesting a change in medication

4. Restricting hospital visits

The correct answer is: Listening and validating the patient's report of symptoms

Validating and listening to a patient's report of symptoms is an effective nursing intervention for someone experiencing hypochondriasis, which is characterized by an excessive preoccupation with the belief that one has a serious illness, often based on misinterpretation of bodily symptoms. This approach helps the patient feel acknowledged and understood, which can alleviate some of the distress associated with their concerns. When patients with hypochondriasis feel that their worries are taken seriously without immediate scrutiny or dismissal, they may be more inclined to engage in therapeutic discussions that help address their fears. This strategy also fosters trust between the patient and nurse, which is critical in managing anxiety and promoting a therapeutic environment. In other interventions, while encouraging physical activity is beneficial for general health, it may not directly address the psychological aspects of hypochondriasis. Suggesting a change in medication might be appropriate in some instances but could overlook the psychosocial dynamics at play. Restricting hospital visits could potentially exacerbate feelings of anxiety and isolation, leading to an increase in preoccupation with health fears. Therefore, listening and validating the patient’s experiences plays a key role in effective intervention.