Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
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 |
Created by:
cgwayland
Popular Nursing sets