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Unit V (Chpt 22)
Somatic, factitious, and Dissociative Disorders
| Question | Answer |
|---|---|
| Pain, GI symptoms, sexual symptoms, and pseudoneurological symptoms with vague inconsistent symptoms are hallmarks of this disorder, | Somatization Disorder |
| The extreme worry and fear associated w/ the possibility of having a disease distinguishes this disorder from other somatoform and anxiety disorders(>6 mo). | Hypochondriasis |
| When testing r/o any organic cause for the pain, and the discomfort L/T significant impairment, _____ ______ is diagnosed. | Pain disorder |
| Preoccupation w/ some imagined defect in appearance; Mirror checking & Camouflaging; Coping by avoidance. | Body Dysmorphic Disorder |
| Development of one or more s/s or deficits suggesting neurological disorder (blindness, deafness, loss of touch) or general medical condition. | Conversion Disorder |
| Show a lack of emotional concern about the symptoms, associated w/ Conversion Disorder. | La belle indiffe´rence |
| Somatic symptoms were significantly ↓w/ a _____ medication. | SSRI |
| ______ is used when the individual makes statements such as “It makes everyone look at me with horror.” (BDD) | Projection |
| Somatoform symptoms are ___ under the individuals voluntary control. | Not |
| Benefits derived from the s/s alone; for example, in the sick role, the pt is not able to perform the usual family, work, and social functions and receives extra attention from loved ones. | Secondary Gains |
| Patients with somatoform disorders have difficulty communicating their ______ needs. | Emotional |
| Patients who use somatization exhibit remarkable _______ to change. | Resistance |
| As you plan the care of a client with somatization, a useful strategy? | Set goals with staged outcomes (i.e. small, attainable steps) |
| A frequent diagnosis for somatoform disorders? | Ineffective Coping |
| Spend time with client at times other that when client summons nurse to voice _____ complaint. | Physical |
| Provides client w/ a positive means of getting needs met; reduces feelings of hopelessness & need for manipulation. | Teach Assertive Communication |
| Interventions for somatoform disorders involve a _____________ to support the highest level of self-care the client is capable of. | Matter-of-fact approach |
| Is often identified as appropriate teaching for patients with somatoform disorders. | Assertiveness Training |
| ________ is common among clients with somatoform disorders. | Doctor Shopping |
| People w/ this disorder usually do not _____ shop, Factitious disorder. | Doctor |
| Consciously pretend to be ill to get emotional needs me and attain the stays of “patient”. | Factitious Disorders |
| The most severe and chronic form of factitious disorders, notable for the way patients go from one primary care provider or hospital to another, seeking attention. | Munchausen Syndrome |
| A consciously motivated act to deceive based on the desire for material gain. | Malingering |
| Altered mind-body connections are believed to be related to stress or anxiety(unconsciously protects against anxiety). | Dissociative Disorders |
| Patients with Dissociative disorders have a ___________; that is, they are not delusional of hallucinating. | intact reality testing |
| Out-of-body experience; persistent or recurrent alteration of the perception of self while reality testing remains intact(Does not respond to therapy of medication). | Depersonalization Disorder |
| Inability to recall important personal information, often of a traumatic or stressful nature. (Localized or Selective). | Dissociative Amnesia |
| Sudden, unexpected travel away from the customary locale & inability to recall ones identity and information about some or all of the past. | Dissociative Fugue |
| The presence of two or more distinct personality states that recurrently take control of behavior; believed that severe sexual, physical, or psychological trauma in childhood predisposes clients. | Dissociative Identity Disorder |
| Transition from one personality to another occurs during times of _____. | Stress |
| Many clients w/ DID seek help when the primary personality is ______. | Depressed |
| Desired environment: quiet, simple, structured, and supportive. No group therapy. Task oriented therapy. | Milieu for Dissociative |
| Develop a plan to interrupt a dissociative episode, such as signing or doing a specific activity. Daily journaling to increase awareness of feelings & identification of triggers. | Teaching for Dissociative Disorders. |
| Do not _____ patient with data regarding past events. | Flood |
Created by:
BOjangles1006
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