MH Chapter 17 Word Scramble

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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