During a psychiatric evaluation, the psychiatric-mental health nurse practitioner conducts a psychiatric review of systems (ROS) in which he reviews common psychiatric symptoms that may not have been elicited in the history of present illness (HPI). Which of the following questions is most likely designed to elicit a response for the system somatic concerns?

Choice A reason: This question specifically targets somatic concerns, which relate to preoccupation with physical health and bodily sensations. Patients with somatic symptom disorders or health anxiety often over-focus on perceived physical problems and frequently seek reassurance about their health. Asking if someone worries about their physical health more than others directly evaluates this symptom domain. Choice B reason: This question assesses intrusive thoughts, images, or urges, which are hallmark features of obsessive-compulsive disorder, not somatic concerns. It evaluates cognitive phenomena rather than bodily preoccupation. Choice C reason: This question evaluates situational anxiety, such as that seen in phobias or social anxiety disorder, not somatic symptom preoccupation. It focuses on emotional responses to specific triggers rather than physical symptoms. Choice D reason: This question assesses symptoms of narcolepsy or excessive daytime sleepiness, which are neurological/sleep-related rather than somatic concerns linked to anxiety or health preoccupation.