Which medication classification has been shown to be effective in some cases of somatoform disorders? Show A) Antibiotics D) Serotonin reuptake inhibitors (SSRIs) A nurse is preparing a plan of care for a client diagnosed with body dysmorphic disorder. Which nursing diagnosis would the nurse likely identify as the priority? A) Disturbed body image A) Disturbed body image Over the past 5 years, a client has had two exploratory surgeries and numerous examinations for severe abdominal pain. All diagnostic and laboratory results have been negative for organic problems. The client has had vague descriptions of periods of anxiety and depression and has continued to seek medical assistance for the abdominal pain and various other physical problems. The nurse would assess this client as using which defense mechanism? A) Displacement C) Somatization The nurse is seeing a an adolescent client who has attended the clinic frequently with vague reports of abdominal pain. Despite normal blood values, stool tests, and diagnotic imaging of the abdomen, the client continues to report symptoms. Which psychological factor may be contributing to the client's problem? A) The client is the head of the school debate team. C) The client's parents are considering getting divorced. Somatic symptom illness disorders are characterized by what? A) Severe physical symptoms that cannot be explained by any organic or physical pathology A) Severe physical symptoms that cannot be explained by any organic or physical pathology Which mental health disorder is characterized by a fear of developing a serious illness based on a misinterpretation of body sensation? A) Alexithymia B) Hypochondriasis Which best describes the concept of somatization? A) Manifestation of physical symptoms
from psychological distress A) Manifestation of physical symptoms from psychological distress Which statement by the client indicates an understanding of somatic symptom disorder? A) "Taking medication won't help my pain since it's caused by
stress." B) "How I handle stress and emotions can affect my physical health." When describing the major difference between somatic symptom disorder and factitious disorders, which would the nurse include? A) In somatic symptom disorder, clients consciously seek attention. B) In somatic symptom disorder, clients are not consciously aware that needs are being met through physical complaints. A client is admitted to a mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which would a nurse most likely find? A) Parents who were restrictive D) Intentional self-injurious behavior A client reports a headache. On further assessment, the nurse finds that the client has been spending long hours on a difficult project at work. What should the nurse conclude from the assessment? A) The client may be stressed from work. A) The client may be stressed from work. A parent brings a teenaged child, who is complaining of having a severe headache, to the clinic. The teenager is groaning with pain. During assessment, the client asks the nurse for a note to excuse the absence from school. After further assessment, the nurse suspects that the client is malingering. What leads the nurse to come to this conclusion? Choose the best answer. A) The client reported having signs related to
raised intracranial pressure, such as nausea. C) The client's symptoms disappeared after getting the medical note. When assessing a client with somatic symptom disorder, which would the nurse most likely note? A) Denial and repression are the chief defense mechanisms used. C) Reports of physical symptoms do not have a demonstrable organic basis to fully account for them. The nurse is seeing a Chinese client who reports chronic pain that radiates to the lower back. The client reports the pain has been unresolved with analgesia, physical therapy and therapeutic massage. The client's diagnostic imaging reports are all unremarkable. Which statement by the nurse would be the most supportive response to this client? A) "It would be best for your to see a specialist until the underlying issue is
properly diagnosed." B) "You must be so frustrated with this unexplained pain. Do you have other stresses in your life too? Which is a significant obstacle in providing psychiatric care for clients who have somatic symptom illnesses? A) There are no known successful treatments for these disorders. B) Clients are often unrecognized because clients receive treatment in different primary care offices, and care is often fragmented. A client's family member asks the nurse, "What is a conversion disorder?" Which is the best response by the nurse? A) It involves unexplained, usually sudden, deficits in sensory or motor function. A) It involves unexplained, usually sudden, deficits in sensory or motor function. All of the following disease processes are caused by stress except which one? A) Diabetes D) Deep vein thrombosis A client is admitted to a mental health unit because the client was found trying to inject diluted feces into the client's hospitalized child's intravenous line. The client has a history of similar attempts of harming the child. The nurse would most likely suspect what? A) Borderline personality disorder C) Factitious disorder imposed on another When describing the major difference between somatic symptom disorder and factitious disorders, which would the nurse include? A) Factitious disorders respond much more readily to psychopharmacologic treatment than does somatic symptom disorder. D) In somatic symptom disorder, clients are not consciously aware that needs are being met through physical complaints. Somatic symptom illness disorders are characterized by what? A)
Self-inflicted injuries D) Severe physical symptoms that cannot be explained by any organic or physical pathology Which would be most important for a nurse to do when caring for a client with somatic symptom disorder? A) Assist in developing a daily routine D) Develop a sound, positive nurse-client relationship Which statement about the etiology of somatic symptom disorder is accurate? A) The disorder is associated with
substance abuse. B) The exact etiology is unknown. When describing somatic symptom disorder to a group of nurses, which would the nurse include as a significant obstacle in providing psychiatric care for clients with that disorder? A) Clients are often embarrassed about the number and extent of their physical complaints. C) Clients are often unrecognized because clients seek out multiple care providers and care is often fragmented. A client has been diagnosed with somatic symptom disorder. The client's assessment reveals high levels of anxiety. Which would the nurse expect to be prescribed? A) Antipsychotics D) Selective serotonin reuptake inhibitors (SSRIs) What is the major clinical finding in somatic symptom disorder? A) The client's inability to focus on emotional content D) The report of symptoms with no demonstrable pathology on testing or examination A client developed conversion blindness after witnessing the death of the client's twin in a car accident. When teaching the client's parent about the client's illness, the nurse explains what? A) The client's blindness is a reaction to the trauma of losing the twin and has no physiologic basis. A) The client's blindness is a reaction to the trauma of losing the twin and has no physiologic basis. A group of nursing students is reviewing information about somatic symptom and related mental health disorders. The students demonstrate understanding of the information when they identify which disorder as involving physical or psychological symptoms (or both) fabricated to assume the sick role? A) Alexithymia D) Factitious disorder Clients from which continent or country may have symptoms of somatization disorder that include the nondelusional sensation of worms in the head or ants under the skin? A) Africa A) Africa A nurse is reviewing the medical history of a client diagnosed with somatic symptom disorder. Which would the nurse expect to find as a comorbid condition? A) Depression A) Depression During a client interview, the nurse determines that the client has a fear of developing a serious illness based on a misinterpretation of body sensation. The nurse identifies this as being characteristic of what? A) Conversion disorder D) Illness anxiety disorder The nurse is educating the spouse of a client with a somatic symptom disorder about how to best help the client. Which strategy should the nurse suggest? A) Keep a log of the client's physical symptoms to track improvement. D) Empathize about physical discomfort but encourage independence. The primary reason for considering cultural issues when caring for the client with somatization disorders is what? A) Somatization disorders differ in type and frequency of symptoms and depend on the culture in which they are expressed. A) Somatization disorders differ in type and frequency of symptoms and depend on the culture in which they are expressed. Which characteristic differentiates conversion disorder from malingering disorder? A) Conversion disorder is normally permanent, while malingering disorder is transient in response to stress. D) Conversion disorder is an unconscious process, while malingering disorder is a deliberate fabrication of symptoms. Which mental health disorder is characterized by a fear of developing a serious illness based on a misinterpretation of body sensation? A) Alexithymia D) Hypochondriasis A client who has been having difficulty functioning in daily life comes to the nurse and states, "I'm really afraid. I've had these funny feelings in my stomach. I'm scared that I might have cancer." The client has been seen by numerous health care professionals and no evidence of cancer has been demonstrated. The nurse suspects what? A) Conversion disorder D) Illness anxiety disorder The nurse is providing care to a client with somatic symptom disorder (SSD). Which would the nurse expect to be included in the client's plan of care? A) Multiple provider evaluations D) Cognitive behavior therapy A client complains of severe low back pain that began shortly after the death of the client's mother 2 years ago. No physical cause has been found to account for the pain. The client has been largely responsible for the care of four younger siblings because the client's father spends much of the week out of town on work-related business. Based on the client's symptoms, which nursing diagnosis is most appropriate for the client at this time? A) Somatic complaints due to anxiety related to life stressors A) Somatic complaints due to anxiety related to life stressors While assessing a client thought to have a factitious disorder, a nurse asks the client to describe when the client felt nurtured as a child. Which response would the nurse interpret as supporting the client's diagnosis? A) "The only time I felt loved and appreciated was when I made the honor roll at school." D) "The only time I ever felt loved was when I was sick enough to miss school." In which disorder is the individual motivated solely by the desire to become a health care client? A) Conversion disorder
D) Factitious disorder Which best describes the concept of somatization? A) Manifestation of physical symptoms from psychological distress A) Manifestation of physical symptoms from psychological distress In somatic symptom disorders, all except which are true? A) The client believes he/she has a serious illness. C) The client usually believes he/she has some sort of anxiety disorder. With treatment, conversion disorder often remits in a few weeks but recurs in approximately which percentage of clients? A) 10% D) 25% The nurse is educating the spouse of a client with a somatic symptom disorder about how to best help the client. Which strategy should the nurse suggest? A) Ignore the client's complaints about physical discomfort and help the client focus on feelings instead. B) Encourage the client to acknowledge the spouse's frustration and helplessness. D) Empathize about physical discomfort but encourage independence. The nurse obtains a psychosocial history from a client who may have psychological factors affecting the medical condition. Which should the nurse recognize as pertinent to this diagnosis? A) No physiologic cause has been found for the client's symptoms. A) No physiologic cause has been found for the client's symptoms. Which term describes the conversion of unexpressed emotions into physical symptoms? A) Psychosomatic D) Somatization A nurse is preparing to interview a client diagnosed with somatic symptom disorder. The nurse anticipates that the client will most likely exhibit what? A) Rapidly changing moods during the interview A) Rapidly changing moods during the interview The la belle indifference occurs in which somatoform disorder? A) Somatization disorder D) Conversion disorder The nurse is assessing a client who reports severe chest pain. The client appears worried and frightened. Further assessment and laboratory testing does not reveal any abnormalities. The nurse observes that in the absence of any medical personnel, the client watches TV, is relaxed, and speaks to a friend on the phone in a normal tone of voice. What should the nurse suspect in this case? A) The client may have Munchausen's syndrome. D) The client may be malingering. A nurse was placed in charge of the pediatric care unit. Over a period of time it was discovered that most of the children on the unit experienced sudden cardiac arrest. Although the nurse went to great lengths to revive the children, most of these children died. On further investigation, it was found that the nurse had been injecting high doses of digoxin drug in the children, which caused the cardiac arrest. The nurse was arrested and found guilty. What would have been the most likely cause of the nurse's behavior? A) The nurse might have conversion disorder. B) The nurse might have Munchausen's syndrome by proxy. After teaching a group of nursing students about somatic symptom disorder (SSD), the instructor determines that additional education is necessary when the group identifies which statement as true? A) The condition is an acute short-term condition.
A) The condition is an acute short-term condition. A nursing instructor is describing complex somatic symptom disorder to a group of nursing students. The instructor determines that the teaching was successful when the students state what? A) The first symptom usually appears during adolescence. A) The first symptom usually appears during adolescence. Assessment reveals that a client has been intentionally injuring the self so that the client can receive long-term disability and not have to work. The nurse interprets this behavior as suggesting which condition? A) Factitious disorder D) Malingering Which is the name given to a direct external benefit that being sick provides, such as relief from anxiety? A) La belle indifference D) Primary gain The nurse has concluded the assessment of a client recently diagnosed with somatic symptom disorder. The client states the client's most significant source of stress is that "No one believes how sick I am." The client's physical complaints include fatigue, loss of appetite, and frequent urination. Based on these data, the most appropriate nursing diagnosis is what? A) Hopelessness related to chronicity of symptoms as evidenced by dependency C) Ineffective coping related to unresolved psychological issues as evidenced by inability to express feelings verbally Following a long history of multiple visits to community clinics and emergency departments, a client has been diagnosed with hypochondriasis. During this current visit to the emergency department, the client has just been informed that diagnostic testing and assessment reveal no severe illness. Despite this, the client persists in verbalizing physical complaints. How should the nurse respond to this? A) Facilitate a repeat of the previous diagnostic testing in order to appease the client. B) Set limits with the client about the complaints. The nurse is teaching basic physical exercises and meditation techniques to a client recently diagnosed with conversion disorder. What outcome does the nurse expect from teaching the client these exercises? Choose the best answer. A) The exercises may help the client understand the conflict underlying the disorder C) The exercises may help the client manage stress underlying the disorder A nurse is working with a client diagnosed with somatic symptom disorder who is experiencing pain. Which would be an important focus of care? Select all that apply. A) Identifying strategies to relieve pain
A) Identifying strategies to relieve pain C) Suggesting the use of complementary and alternative treatments. the relief of anxiety achieved by performing the specific anxiety-driven behavior or the direct external benefits that being sick provides, such as relief of anxiety, conflict, or distress primary gain the internal or personal benefits received from others because one is sick, such as attention from family members, comfort measures and being excused from usual responsibilities or tasks secondary gain characterized by multiple, recurrent physical symptoms in a variety of bodily systems that have no organic or medical basis hysteria preoccupation with the fear that one has a serious disease or will get a serious disease hypochondriasis the primary symptom of pain, which generally is unrelieved by analgesics and greatly affected by psychological factors in terms of onset, severity, exacerbation and maintenance pain disorder involves unexplained, usually sudden deficits in sensory or motor function related to an emotional conflict the client experiences but does not handle directly conversion disorder characterized by physical symptoms that are feigned or inflicted on one's self (or another) for sole purpose of gaining attention other emotional benefits fabricated/induced illness a factitious disorder where the person intentionally causes injury or physical symptoms to self to gain attention and sympathy from health-care providers, family, and others munchausen when a person inflicts illness or injury on someone else to gain attention of medical personnel or to be a "hero" for "saving" the victim munchausen by proxy the intentional production of false or grossly exaggerated physical or psychological symptoms malingering what is the focus of treatment of somatic symptom disorder? managing symptoms what antidepressants are most commonly used to treat somatic symptom disorder? SSRI's What is the primary difference between factitious disorder and somatic symptom disorder?Somatoform and factitious disorders both occur in cases where psychological disorders are related to the experience or expression of physical symptoms. The important difference between them is that in somatoform disorders the physical symptoms are real, whereas in factitious disorders they are not.
What is the primary difference between factitious disorder?Malingerers engage in many of the same activities as people with factitious disorder. They exaggerate or make up symptoms of an illness, either physical or psychiatric. Whereas factitious disorder is a mental health condition with no clear cause, malingerers do it for personal gain.
What's the difference between factitious disorder and Munchausen?Factitious disorder imposed on another (previously called Munchausen syndrome by proxy) is when someone falsely claims that another person has physical or psychological signs or symptoms of illness, or causes injury or disease in another person with the intention of deceiving others.
Which is an example of a somatic symptom disorder?Somatic symptom disorder is diagnosed when a person has a significant focus on physical symptoms, such as pain, weakness or dizziness, to a level that results in major distress and/or problems with daily activities.
|
What is the main difference between somatic symptom disorder and factitious disorder quizlet
zusammenhängende Posts
Urheberrechte © © 2024 ketiadaan Inc.
