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Mental Health
Somatoform
Question | Answer |
---|---|
There are no ACTUAL PHYSICAL or organic changes but they have symptoms that are unconsciously produced as a way of dealing with emotions. | Somatoform disorders |
Which disorder includes combination of pain, GI, neurologic, and/or sexual sx | Somatization disorder |
Unexplained, sudden sensory or motor problems. | Conversion disorder |
Primary sx is pain; unrelieved by analgesics; coincides with stress. | Pain disorder |
Preoccupied with having a disease (cancer, AIDS, etc.) | Hypochondriasis |
Rare in tx. Preoccupied with imagined or exaggerated physical defect. | Body dysmorphic disorder |
primary gains of somatoform disorders | anxiety relief |
secondary gains of somatoform disorders | attention received |
psychophysiologic disorders differ from somatoform disorders in that psychophysiologic disorder | There are ACTUAL PHYSICAL CHANGES in the body that are associated WITH STRESS |
Munchausen's is a _____ disorder | factitious |
factitious disorders differ from somatoform disorders in that factitious disorders | There are ACTUAL PHYSICAL CHANGES that are CONSCIOUSLY produced for attention |
Mother’s will poison children and take to ER is an example of ____ disorder | factitious disorder by proxy |
As a nurse, you should recognize somatoform disorders are ____ done. | unconsciously |
With a pt with a somatoform disorder, you should not confront or accuse of ____. | faking |
Remember: Ignore the symptoms but never the ____. | patient |
Encourage patient to express ____ vs. convert to somatic | feelings |
link physcial sx with onset of ____ in life. | stress |
Be very aware of ____ disorders especially when working with children | factitious |
A young woman has been diagnosed with a conversion disorder after no medical reason can be found for her paralysis of one leg. What is the best nursing approach with this patient? | Provide reinforcement of any verbalization of a link between her symptoms and anxiety |
It is very important that the nurse fully understands that patients with true somatoform disorders | Unconsciously produce symptoms as a way of dealing with emotions |
Real physical problems may be _______ once the person is given a somatoform diagnosis | ignored |
Patients with conversion disorders often display a key feature called "la belle indifference" regarding their symptoms. An example of this is when the patient | Does not seem concerned or distressed by the physical symptom |
The most important piece of diagnostic data to document regarding a patient with a conversion disorder is: | His emotional reaction to the physical problem. |
A nursing diagnosis commonly associated with somatoform disorders: | Ineffective coping r/t anxiety |
The most appropriate outcome criterion for a person with a somatoform disorder is: | Pt. demonstrates one assertive behavior by end of week 1 |
The most therapeutic intervention for a patient experiencing a somatoform disorder is: | Reinforce the patient’s awareness of the link between anxiety and development of symptoms |
The best indicator of improvement in a patient with a somatoform disorder is | Patient decreases focus on physical status |
The best way to respond when a family member needs explanation about a factitious disorder is to that that the patient: | Purposely creates symptoms out of complex needs |
The patient with a diagnosis of hypochondriasis says, “I know these headaches mean I have a serious disease like cancer and the tests are not correct”. This disorder is characterized by: | Preoccupation with fear of serious disease |
The nurse chooses which nursing diagnosis for a patient with conversion disorder with pain and inability to move his left leg? | Fatigue r/t difficulty moving left leg secondary to pain |
Primary gain associated with somatoform disorders is characterized by: | Relief from anxiety associated with a conflict |
A patient with a somatization disorder most often experiences? | Physical symptoms for which no medical explanation exists |
According to Selye’s general adaptation syndrome, the patient with chronic stress who has reached the stage of exhaustion is most susceptible to? | Physical illness |
A patient with body dysmorphic disorder should be assessed for complaints of? | Preoccupation with body defect |
The outcome the nurse establishes for the patient with a somatization disorder is? | Patient will verbalize relationship of anxiety to physical symptoms |
The nurse uses which approach for the patient with a somatoform disorder if the patient continues to verbalize physical symptoms r/t unmet dependency needs | Limit setting |
A patient is preoccupied with numerous somatic complaints even after careful diagnostic work reveals no physiologic problems. Which approach would be most therapeutic? | Acknowledge that the complaints are real to the patient and refocus |