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______________ disorders are characterized by physical symptoms suggesting medical disease but without demonstrable organic pathology or a known pathophysiological mechanism to account for them.
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____________ disorders are defined by a disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment.
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MH Chapter 17
Anxiety Disorders chapter for MH final exam
| Question | Answer |
|---|---|
| ______________ disorders are characterized by physical symptoms suggesting medical disease but without demonstrable organic pathology or a known pathophysiological mechanism to account for them. | Somatoform |
| ____________ disorders are defined by a disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment. | Dissociative |
| Somatoform disorders are more commonly found in which four groups or people? | Women (more than men), the poorly educated, residents of rural communities, and lower socioeconomic classes |
| True or false? Dissociative disorders are thought to be rare. | True |
| Amnesia is the most common dissociative _________?. | Amnesia is the most common dissociative symptom. |
| True or false? DID is more prevalent in men than women? | False |
| Brief episodes of depersonalization symptoms appear to be common in young adults, particularly in times of _______ ______? | severe stress. |
| List several types of of psychophysiological disorders. (Hint, what things can be caused by stress/anxiety/etc.?) | Asthma Cancer Coronary heart disease Peptic ulcer Essential hypertension Migraine headache Rheumatoid arthritis Ulcerative colitis |
| Name four nursing diagnoses related to pyschopsychological disorders? | Ineffective coping, Deficient knowledge, Low self-esteem, Ineffective role performance |
| Types of somatoform disorders include? | Somatization disorder, pain disorder, conversion disorder, body dysmorphic disorder, |
| Chronic syndrome of MULTIPLE somatic symptoms that cannot be explained medically and are associated with psychosocial distress and long-term seeking of assistance from healthcare professionals is called____________ disorder? | Somatization disorder |
| Chronic pain at four different sites, GI upset, irregular menses or ED, and paralysis, blindness, or deafness without evidence of underlying organic pathology is likely ____________ disorder? | Somatization disorder |
| Chronic anxiety, depression, and suicidal ideations are frequently manifested and drug abuse and dependence are not uncommon with ____________ disorder? | Somatization disorder |
| Predominant disturbance in _____ disorder is severe and prolonged pain that causes clinically significant distress or impairment in social, occupational, or other areas of functioning. | Pain Disorder |
| Frequent visits to physicians to obtain analgesics, excessive use of analgesics, and requests for surgery without underlying pathology may represent _________ disorder? | Pain Disorder |
| The preoccupation with the fear of contracting, or the belief of having, a serious disease is called? | Hypochondriasis |
| Disabling fear persists despite reassurance that no organic pathology can be detected in ______________? | Hypochondriasis |
| With _____________, even in the presence of disease, the symptoms are grossly disproportionate to the degree of pathology. | Hypochondriasis |
| Client convinced that small mole is skin cancer is _____________? | Hypochondriasis |
| Client who insists their rapid heart rate is severe heart disease, even when reassured by their cardiologist, is ______________? | Hypochondriasis |
| History of doctor shopping and belief that they are not receiving proper treatment = _________________? | Hypochondriasis |
| A “pseudoneurological” loss of or change in body function resulting from a psychological conflict, the physical symptoms of which cannot be explained by any known medical disorder or pathophysiological mechanism is ___________ Disorder? | Conversion Disorder |
| The most obvious and “classic” symptoms of __________ disorder are those that suggest neurological disease (“pseudoneurological”) and occur following a situation that produces extreme psychological stress for the individual. | Conversion disorder |
| Paralysis, seizures, aphonia, dysphagia, urinary retention, blindness, deafness, pseudocyesis (false pregnancy) with not underlying pathology are ________ symptoms? | conversion (Conversion disorder) |
| Conversion Disorder: A client who expresses a relative lack of concern that is out of keeping with the severity of the impairment is a clue for the physician that the problem my be psychological and is called __ ______ __________? | la belle indifference |
| __________ disorder is characterized by an exaggerated belief that the body is deformed or defective in some specific way? | Body dysmorphic disorder |
| Exaggerated complaints or excessive concern about the appearance of thining hair, a small scar, or wrinkles may indicate ___________ disorder? | body dysmorphic disorder |
| A person who has a history of numerous visits to surgeons and dermatologists to correct their imagined facial defects may indicate ____________ disorder? | Body dysmorphic disorder |
| ___________ factors are possibly associated with these somatoform disorders: somatization disorder and hypochondriasis? | Hereditary |
| Decreased levels of serotonin and endorphins may play a role in the etiology of _____ disorder? | Pain disorder |
| Freud’s Theory suggests that hypochondriasis may be an ____ _______ _____ ? | ego defense mechanism. (Physical complaints become the expression of low self-esteem, because it is easier to feel something is wrong with the body than to feel something is wrong with the self.) |
| Freud might have explained Conversion disorder by saying it? | may represent emotions associated with a traumatic event that are too unacceptable to express and so are acceptably “converted” into physical symptoms. |
| Skinner’s Learning theory: Somatic complaints are often reinforced when the sick person learns that he or she may avoid stressful obligations or be excused from unwanted duties this is called _______ gain? | primary gain |
| Skinner’s Learning theory: When the sick person beecomes prominent focus of attention because of the illness ___________ gain? | secondary gain. |
| Skinner’s Learning theory: When conflict is relieved within a family because concern is shifted to the ill person and away from the real issue is it called ________ gain? | tertiary gain. |
| Past experience with serious or life-threatening physical illness, either personal or that of close relatives (parents, etc.), can predispose a person to _______________? | hypochondriasis. |
| Common nursing diagnoses for somatoform disorders include? | Ineffective coping, Chronic pain, Fear, Disturbed sensory perception, Disturbed body image |
| Nursing care of the individual with a somatoform disorder is aimed at? | Relief of discomfort from the physical symptoms and coping strategies for stress by means other than preoccupation with physical symptoms. |
| Types of Dissociative disorders include (four types)? | Dissociative amnesia, Dissociative Fugue, Dissociative Identity Disorder (DID), and Depersonalization Disorder |
| An inability to recall important personal data that is too extensive to be explained by ordinary forgetfulness (not due to effects of substance use or a general medical condition) is called? | Dissociative amnesia |
| The five types of disturbance in recall (types of amnesia’s) are? | Localized, selective, continous, generalized, and systematized amnesia: |
| The inability to recall all incidents associated with the traumatic event for a specific period following the event is __________ amnesia? | Localized amnesia |
| Client can’t recall the events of an auto accident nor the events during the two hours after the accident. This is _________ amnesia? | Localized amnesia |
| The inability to recall only certain incidents associated with a traumatic event for a specific period following the event is __________ amnesia? | Selective amnesia |
| Client remembers the truck hitting his car and rolling over but not being taken to the hospital in an ambulance. This is __________ amnesia? | Selective amnesia |
| The inability to recall events occurring after a specific time up to and including the present is __________ amnesia? | Continuous amnesia |
| The client has no memory of his auto accident, remembers nothing that has happened since and, even though alert, cannot form any new memories even now. This is __________ amnesia? | Continuous amnesia |
| The inability to recall anything that has happened during the individual’s entire lifetime, including personal identity is __________ amnesia? | Generalized amnesia |
| Rare phenomenon is which when individual cannot recall his identiy or past is __________ amnesia? | Generalized amnesia |
| The inability to recall events relating to a specific category of information, such as one’s family or one particular person or event is __________ amnesia? | Systematized amnesia |
| A client can remember his past but nothing about his family. This is __________ amnesia? | Systematized amnesia: |
| _____________ is characterized by a sudden, unexpected travel away from home or customary workplace with the individual unable to recall personal history or identity (assumption of a new identity is common.)? | Dissociative fugue (unlike amnesia they have no awareness they have forgotten anything). |
| ___________ ________ ________ is characterized by existence of two or more personalities within a single individual (Transition from one personality to another usually sudden, often dramatic, and usually precipitated by stress) | Dissociative identity disorder (DID) |
| _________ ______ ___________ was formerly called multiple personalitydisorder? | Dissociative identity disorder (DID) |
| ______________ disorder is characterized by persistent feelings of unreality, detachment from oneself or one’s body, and/or observing oneself from outside the body? | Depersonalization disorder |
| Depersonalization is defined as a disturbance in the perception of oneself where as ________________ is an alteration in the perception of the external environment? | Derealization |
| True or false? EEG abnormalities have never been observed in clients with DID. | False (It has been seen in some clients.) |
| True or false? Evidence suggests DID is a response to a set of traumatic experiences that overwhelms the individual’s capacity to cope by any means other than dissociation. | True |
| Evidence suggests that severe physical, sexual, or psychological abuse by a parent or significant other in the child’s life may cause _________ ________ ________? | . Dissociative identity disorder (DID) |
| Common nursing diagnoses for dissociative disorders include? | Disturbed thought processes, Ineffective coping Disturbed personal identity, Disturbed sensory perception, |
| True or false? Therapy for amnesia may include IV amobarbitol, hypnosis, or free association. | True |
| _____________ disorders were historically known as hysteria? | Somatoform disorders |
| Pyschophysiological disorders, somatoform disorders, and dissociative disorders are associated with anxiety at the _________ to _________ level? | Moderate to severe anxiety |
| A person intentionally causes or feigns symptoms to gain attention is? | Munchausen’s syndrome |
| A person inflicts injury or causes symptoms in another to gain attention from medical personnel? | Munchausen by proxy |
| An intentional production of false or grossly exaggerated symptoms, motivated by avoiding work, evading criminal prosecution, or obtaining financial compensation is? | Malingering |
| Disorder of multiple physical symptoms: combination of pain, GI, sexual, and/or pseudoneurologic symptoms? | Somatization disorder |
| Disorder of unexplained deficits in sensory or motor function such as blindness or paralysis? | Conversion disorder |
| A preoccupation with fear that one has or will get a serious disease? | Hypochondriasis |
| A preoccupation with an imagined or exaggerated defect in physical appearance? | Body Dysmorphic disorder |
| The current term used to describe the transference of mental experiences into bodily symptoms is __________? | Somatization |
Created by:
hwk