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Unit V (Chpt 22)

Somatic, factitious, and Dissociative Disorders

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