Read the case study and then answer the questions that follow

READ
Cynthia is a 64-year-old who is admitted to the emergency department (ED) after a near-lethal dose of acetaminophen (Tylenol). Despite the severity of the overdose, she avoids questions about it. Instead, she focuses on physical symptoms, especially mild abdominal pain and concern over bowel movements. She states she has not seen her primary care provider, a nurse practitioner, in several years. “I’m afraid of what I’ll find out.” Her electronic medical record shows that Cynthia had surgery to remove a benign breast tumor 10 months ago.

She shares a detailed chart tracking vegan intake and bowel movements that she developed after her mother died from colon cancer 2 years ago. When asked how she has been dealing with her grief since then, she says, “Not very well. I’m sad and feel lonely. I think it’s worse because I’ve been so worried about my own symptoms.” Regarding a support system, she says, “I am an only child. Taking care of my mother, I was too busy to go out. And now, of course, since I am ill, I can’t deal with other people. Can you recheck my blood pressure? I think it’s really high.”

Vital signs—including blood pressure—are normal. All ED tests and imaging demonstrate no evidence of gastrointestinal pathology. The ED provider suspects that Cynthia has an illness anxiety disorder.

ANSWER
Identify the assessment findings that require the nurse to follow up. Select all that apply.
A. Reports occasional abnormal bowel movements
B. Had a recent benign tumor diagnosis
C. Reports mild abdominal discomfort
D. Excessive health-related behaviors
E. Preference for veganism
F. Maladaptive avoidance
G.amily history of colon cancer
H. Symptoms present for at least 9 months

2. Based on the patient’s condition, the patient’s priority problems include which of the following? Select all that apply:

A. Accidentally overdosed on acetaminophen for symptom relief
B. Expresses difficulty coping with loss of mother and expresses loneliness
C. Reports having no other family or friends
D. Displays nutritional deficits
E. Keeps a detailed food and bowel movement diary
F. Excessive concern about elevated blood pressure in the absence of symptoms or values
G. Says that socializing would just make her more nervous