A client arrives at the primary care physician with complaints of increased symptoms of colitis. During the intake interview, the patient mentions having two migraines in the past 3 weeks and asks for a new medication, stating, "It doesn't seem like the current medication is working as well as I expected." In reviewing the client's medical record, it is noted that the client was prescribed medication for depression and a referral to a marriage counselor at her last visit 2 months ago. Which of the following might the nurse suspect?

Question

Quizplus · Accepted Answer

1.This is correct. The patient presents with a diagnosis of colitis and depression and has recently received medications for depression and migraines. These symptoms are manifestations of ineffective expression of anger. The symptoms will not go away if the cause (ineffective anger expression) is not resolved.
2.This is incorrect. Medication that does not appear to be effective does not necessarily indicate a hypersensitivity.
3.This is incorrect. There is no mention of physical evidence of domestic abuse.
4.This is incorrect. Operant conditioning refers to a specific behavior that is reinforced. It may be true that patient has learned to suppress her feelings of anger, but that is not indicated in the scenario.

A Client Arrives at the Primary Care Physician with Complaints