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somatiform disorders
nur 211 psych nursing
| Question | Answer |
|---|---|
| dependency | the reliance on others to meet physical and emotional needs |
| repressed anger | unconscious defense mechanism where anger is pushed from consciousness where they remain dormant but operant - causes much anxiety. |
| secondary gain | benefits derived from symptoms alone |
| assess for secondary gains | If you felt well, what would you be able to do that you cannot do now |
| somatoform disorders | no physiological basis, symptoms are ego-systonic |
| somatoform disorders | person very distressed/worried |
| somatoform disorders | exaggerate/ distort body sensations |
| comorbid | other conditions present with primary diagnosis |
| somatiform disorders | comorbid with anxiety, depression |
| somatization disorder | history of many physical complaints before age 30 |
| somatization disorder | criterion: 4 pain symptoms, 2 GI symptoms, 1 sexual symptom, 1 psuedoneurologic symptom |
| undifferentiated somatiform disorder | one or more physical complaints focus on SYMPTOM |
| Hypochondriasis | preoccupation with fears of having or the idea that one has a serious disease based on misinterpretation of body symptoms, cliet focus of assumed DISEASE |
| conversion disorder | la belle indifference - they are not bothered or upset by it |
| conversion disorder | one or more symptoms or deficits affecting voluntary motor or sensory fx that suggest a neurological or other general med. condition |
| conversion disorder | symptoms have symbolic meaning |
| conversion disorder | fairly dramatic, suddenly cannot walk or see |
| pain disorder | pain in one or more sites where there is no physiologic basis |
| Body dysmorphic disorder | preoccupation w ith an imagined defect in appearance. slight physical anomaly causes excessive concern. |
| factitious disorder | intentional production or feigning of physical or psychological s &s of illness |
| factitious disorder | intentional, NOT unconscious |
| factitious disorder | formally known as munchausen's syndrome |
| Munchausen's by proxy | making it look like somebody else has an illness so you are the rescuer |
| malingering | intentional production or feigning of physical or phychological s&s for external incentives |
| Type A | driven, quick temper, always under pressure |
| Type A | CAD |
| compulsive, rigid, passive-aggressive | Colitis, headaches |
| perfectionistic | migraines |
| dependent, sensitive to loss | asthma, ulcers |
| seeks approval, represses rage | essential hypertension |
| psychophysiological disorders | psychological factors can affect the course or outcome of a disease |
| psychophysiological disorders | actual physical disease with stress/anxiety playing a significant role in its development |
| repressed rage | CAD essential htn |
| worry | cancer/ immune system |
| sensitive to stress | repiratory/asthma |
| tension | migraine/headaches |
| stress as contributing factor | GI peptic ulcer, ulceritive colitis |
Created by:
LisaRN2B
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