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MH Test #2 > Block 7 Physical, Somatiform, and Dissociative D/O > Flashcards

Block 7 Physical, Somatiform, and Dissociative D/O Flashcards

1
Q

intense fear of having a disease=

A

Hypochondriasis

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2
Q

Often presents as seizure disorder in children less than ten years of age=

A

conversion disorder

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3
Q

relieves anxiety by masking inner emotional turmoil=

A

primary gain

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4
Q

produces symptoms to meet a recognizable goal=

A

malingering

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5
Q

being relieved of responsibilities, having dependency needs met=

A

secondary gain

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6
Q

a preoccupation with a physical difference or defect in ones body=

A

body dysmorphic disorder

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7
Q

the fight or flight response=

A

physiological stress response

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8
Q

a stress response mechanism seen in animals that protects them during times of stress or illness=

A

fight or flight response

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9
Q

survival tool to get enough energy to run or fight=

A

physiological stress response

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10
Q

biochemical reactions of the stress response and their effects on various body systems=

A

general adaptation syndrome

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11
Q

when do individuals learn how to perceive and response to stress?

A

in childhood

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12
Q

children who have experienced an unstable home environment may react to stress as adults with…

A

exaggerated hormonal mechanisms

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13
Q

which body system experiences most of the stress response?

A

the gastrointestinal tract

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14
Q

what is the stress response theory?

A

individuals are biochemically patterned to react to stress

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15
Q

certain personality types are prone to develop certain illnesses is whos theory?

A

erich fromm’s

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16
Q

every individual has one body system that is more sensitive than the other systems is what theory>

A

organic weakness theory

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17
Q

Somatization=

A

feeling the physical symptoms in the absence of disease or out of proportion to an aliment.

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18
Q

feeling the physical symptoms in the absence of disease or out of proportion to an aliment=

A

somatization

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19
Q

a person who has no organic medical condition that explains symptoms expressed may have what type of disorder?

A

somatoform disorder

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20
Q

a person who has a disorder that significantly disrupts or impair ones level of functioning like doing ADL’s or working may have what type of disorder?

A

somatoform disorder

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21
Q

a client who is unaware of or is unable to express his or her emotional distress like weakness for men that lets them get attention and sympathy may have what disorder?

A

somatoform disorder

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22
Q

this condition is associated with many s/s

A

polysymptomatic disorder

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23
Q

often people with this disorder seek treatment from several physicians at the same time=

A

polysymptomatic disorder

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24
Q

clients with this disorder you need to get a full drug history and watch their perscriptions

A

polysymptomatic disorder

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25
Q

smatoform disorder is more common in…

A

women…and runs in families

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26
Q

involvement in a description of disease with multiple organ systems and has no medical validation suggests…

A

a somatization disorder

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27
Q

a person with this disorder will describe a disease with an early onset and is a chronic condition in which no physical changes occur over time=

A

somatoform disorder

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28
Q

a person with this disorder will have an absence of any significant lab values which indicates that the underlying problem may be emotionally based=

A

somatoform disorder

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29
Q

when differentiating somatoform disorders from a medical problem the elderly is usually always…

A

physical and not somatoformed

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30
Q

this disorder is considered to be a somatoformed disorder in which the individual presents problems related to sensory or motor functions=

A

conversion disorder

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31
Q

conversion disorders appear more commonly in these three types of people…

A

persons of lower socioeconomic status. those living in rural areas. individuals with little heath care knowledge.

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32
Q

conversion disorders are thought to result from these three things…

A

emotional conflict, environmental stressors, and personal conflict.

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33
Q

this is a somatoform disorder in which one has an intense fear of or preoccupation with having a serious disease or medical condition based on misinterpretation of body s/s

A

hypochondriasis

34
Q

clients with this disorder commonly doctor shop

A

hypochondriasis

35
Q

how do factitious disorder and malingering disorders differ from somatoform disorders?

A

the s/s are produced intentionally

36
Q

clients with this disorder willfully produce the s/s of illness for some form of gain=

A

factitious disorder

37
Q

factitious disorder by proxy=

A

munchausens syndrome

38
Q

factitious disorder by proxy(munchausens syndrome)=

A

involves intentionally producing s/s in another person. often a mother or caregiver.

39
Q

individuals with this disorder produces s/s to meet a recognizable goal=

A

malingering

40
Q

ex. of malingering=

A

playing sick for school

41
Q

what is the goal of care for psychophysical problems such as somatoform disorders, conversion disorders, hypochondriasis, factitious disorders, and malingering?

A

rule out the presence of any physical disease or dysfunction and develop a TRUSTING care-giver client relationship

42
Q

all the attitudes, notions, beliefs, and convictions that make up a persons self-knowledge=

A

self concept

43
Q

a personality that is able to effectively perceive and function within their world and are able to struggle with life’s problems while feeling good about living=

A

healthy personality

44
Q

where you were born=

A

culture

45
Q

where you live=

A

society

46
Q

these two things have a big impact on a person’s self concept=

A

culture and society

47
Q

this group learns to trust each other when their needs are consistently met=

A

infants

48
Q

rejection in infancy result in

A

strong negative effect on self concept

49
Q

this group tries to explore the limits of their abilities=

A

toddlers

50
Q

this group become independent by exploring=

A

toddlers

51
Q

this group become aware of different perspectives on life=

A

school-aged children

52
Q

self concept in childhood with when self concept is…

A

established

53
Q

this group is where comfortable self concept of childhood is challenged=

A

early teen years

54
Q

early teen years self concept is influenced by these four things

A

relationships. confidence. sexual identity. body image.

55
Q

self concept in adolescence is when self concept is

A

developed

56
Q

adults with a low self concept view the self as…

A

inadequate or incapable

57
Q

adults that can freely explore their environment because they have a background of success and effectiveness have a

A

strong and positive self concept

58
Q

self concept in adult is

A

strengthened

59
Q

in older adulthood many occurrences and situations can do what to a positive self concept

A

threaten

60
Q

health care providers can enhance older clients feelings of self worth by…

A

actively listening and demonstrating concern

61
Q

in older adulthood self concept is

A

refined

62
Q

an attempt to cope with deep seated emotional anxiety or distress=

A

dissociation

63
Q

low self esteem is a common component of

A

many mental health disorders

64
Q

failure to bring various childhood identifications into an effective adult personality=

A

identity diffusion

65
Q

loss of memory=

A

amnesia

66
Q

characterized by an inability to remember personal information that cannot be explained by ordinary forgetfulness=

A

dissociative amnesia

67
Q

most lapses of dissociative amnesia are related to…

A

extremely stressful events

68
Q

sudden, unexpected travel with an inability to recall the past=

A

dissociative fugue

69
Q

occurs in response to an overwhelmingly stressful or traumatic event=

A

dissociative fugue

70
Q

what kind of relationship is VERY important with your client with dissociative fugue?

A

trusting

71
Q

this is entered into voluntarily and cause no distress or harm to the individual

A

cultural trance

72
Q

during this, clients do not lose their identity

A

cultural trance

73
Q

this occurs when trances cause clinically significant distress or function impairment=

A

dissociative trance disorder

74
Q

presence of two or more identities or personalities that repeatedly take control of an individuals behavior=

A

dissociative identity disorder

75
Q

presence of other personalities within one individual=

A

dissociative identity disorder

76
Q

each personality in dissociative identity disorder is unique and represent…

A

the individual at a different developmental stage

77
Q

the main goal of treatment in dissociative identity disorder is

A

to combine all of their personalities into one

78
Q

treatment for dissociative disorders involves

A

long term therapy provided in an outpatient setting

79
Q

hospitalization for a dissociative disorder is only required if these three things are present

A

anger aggression or violence is directed toward self or others and presents a danger. they are unable to function because of memory loss, rapid switching between identities, flashbacks, or overwhelming emotions. medications need evaluated or adjusted.

80
Q

what is important DURING therapy for dissociative disorders?

A

safety

81
Q

treatment for dissociative disorders is often based on…

A

symptoms

82
Q

stabilization of dissociative disorders is where…

A

dx is established

MH Test #2 (3 decks)

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