NSG 221 Herzing University -221 Exam 3: mental health nursing fully solved graded A+

221 Exam 3: mental health nursingmalingering - correct answer the intentional production of false or grossly exaggerated physical or psychological symptoms facitious - correct answer person intentionally produces or feigns physical or psychological symptoms solely to gain attention - may inflict injury on themselves to receive attention Munchausen syndrome - correct answer person fakes his or her own medical problems in order to gain attention primary gains - correct answer the direct external benefits that being sick provides, such as relief of anxiety, conflict, or distress. secondary gains - correct answer Benefits of being treated for illness, including the ability to rest, to be freed from unpleasant tasks, and to be taken care of by others. nursing care of somatic symptom disorder - correct answer - physical, history, consider each complaint - limit frequency of medication - deal with complaints in other ways besides medication - withdraw your attention if the client insists complaints on a sole topic Pharm therapy: somatic illness - correct answer Fluoxetine (Prozac): 20-60 mg/daily - Monitor for rash, hives, insomnia, headache, anxiety, drowsiness, nausea, loss of appetites, avoid alcohol · Paroxetine (Paxil): 20-60 mg/daily - Monitor for nausea, loss of appetite, dizziness, dry mouth, somnolence, or insomnia, sweating, sexual dysfunction, avoid alcohol · Sertraline (Zoloft): 50-200 mg/daily - Monitor for nausea, loss of appetite, diarrhea, headache, insomnia, sexual dysfunction, avoid alcohol