Rasmussen Mental Health - Exam 3 (The best) Questions & Answers
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Rasmussen Mental Health -
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Rasmussen Mental Health -
Somatoform disorder
Highest Priority - ANSWER-Often undergo unnecessary surgeries, invasive diagnostic procedures, and drug trials, all of which can be life-threatening.
Somatoform Disorder
Secondary Gains - ANSWER-Somatization may be used for secondary gains such as attention and decreased re...
Rasmussen Mental Health - Exam 3
(The best) Questions & Answers
Somatoform Disorders
Definition - ANSWER-Subjective Characterized by the presence of one or more
physical symptoms accompanied by abnormal thoughts, feelings, and behavioral
reactions that cannot be defined by an underlying medical condition or disease.
Somatoform disorder
Highest Priority - ANSWER-Often undergo unnecessary surgeries, invasive
diagnostic procedures, and drug trials, all of which can be life-threatening.
Somatoform Disorder
Secondary Gains - ANSWER-Somatization may be used for secondary gains such
as attention and decreased responsibilities.
Hypochondriasis or Illness Anxiety Disorder
Definition - ANSWER-Preoccupied with having or eventually developing a serious
illness.
May or may not present with somatic symptoms, and if they do, the symptoms are
usually mild.
High level of anxiety and alarm about their health lasting at least 6 month.
May either excessively check for problems or avoid medical care.
Hypochondriasis
Signs and Symptoms - ANSWER-The most common symptoms are pain, gastric or
intestinal distress, palpitations, dizziness, shortness of breath, sexual dysfunction,
neurological symptoms, and fatigue.
Hypochondriasis
Nursing Interventions - ANSWER-Nurses role is to assess for any objective data and
to explain the health complaints. Show concern, but avoid fostering dependency.
Conversion Disorder
Definition
Common Signs and Symptoms - ANSWER-Medical disorder (objective) that cannot
be explained.
This disorder presents with one or more symptoms of impaired motor or sensory
function. Findings are incompatible with or an exaggeration of recognized
neurological conditions and are not better explained by another mental or medical
disorder.
, Most common are blindness, deafness, paralysis, inability to talk. Symptoms are
beyond conscious control and are related directly to conflict .
Conversion Disorder
Nursing Interventions - ANSWER-Encourage independence in ADL's in a matter of
fact manner.
Dissociative Disorders
Definition - ANSWER-A disturbance in the normally well-integrated continuum of
consciousness, memory, identity, and perception.
Dissociation is an unconscious defense mechanism to protect the individual against
overwhelming anxiety related to past trauma, and ranges from minor to severe in
presentation.
Patients with dissociative disorders have intact reality testing, meaning they are not
delusional or hallucinating.
Dissociative Fugue - ANSWER-The patient in a fugue state frequently relocates and
assumes a new identity while not recalling previous identity or places previously
inhabited.
The distracters are more consistent with paranoid schizophrenia, generalized anxiety
disorder, or bipolar disorder. Head injury, posttraumatic stress disorder, or a
neurological disorder should also be considered.
Dissociative Amnesia - ANSWER-Related to a traumatic incident, and may be
accompanied by a fugue where the patient flees from their normal life to another
location and starts a new life. Gradually over time, memories of the original life may
be triggered. Patients can become confused and embarrassed when the amnesia
subsides and memory returns.
Dissociative Identity Disorder - ANSWER-The most severe of the dissociative
disorders. Disruption of identity by two or more distinct personality states. Involves
discontinuity in the sense of self, accompanied by alterations in affect, behavior,
memory, and functioning. Patients lose time, meaning they do not have memory of
periods of time ranging from minutes to weeks.
The patient is often unaware of the other personalities. Each alternate personality
has its own pattern of personality, perception, and memories.
Body Dysmorphic Disorder
Definition - ANSWER-A highly distressing and impairing disorder that ranges along
the continuum from distressing to delusional severity.
They have preoccupation with an imagined defective body part; obsessional thinking,
compulsive behaviors.
Individuals with BDD are frequently concerned with the face, skin, genitalia, thighs,
hips, and hair.
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