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Psychiatric Nursing > Dissociative, Somatic, And Sleep-wake Disorders > Flashcards

Dissociative, Somatic, And Sleep-wake Disorders Flashcards

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1
Q

Disturbance of, or alteration in, the usually integrated functions kd consciousness, memory, identity and perception

A

Dissociative disorders

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2
Q

Causative theories on dissociative disorder

A 
Biological factors
Genetic factors
Psychosocial factors
Psychodynamic theory
Psychological trauma
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3
Q

Dissociative disorder: impaired ability to integrate memory

A

Dissociative amnesia

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4
Q

Dissociate disorder: inability to maintain one’s identity

A

Dissociative fugue or dissociative identity disorder

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5
Q

Dissociative disorder: persistent or recurrent disruption in perception… Detachment from the mind or body

A

Depersonalization

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6
Q

Dissociative disorder: unreality of surroundings

A

Derealization

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7
Q

Signs and symptoms of depersonalization

A

Dreamy
A sense of unreality
Slow movement of time
Sees self from a distance or detachment

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8
Q

Signs and symptoms of derealization

A

Unreal
Dreamlike
Distance or distorted experience in familiar surroundings

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9
Q

Dissociative amnesia: specific events during a specific period of time

A

Local

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10
Q

Dissociative amnesia: who they are, autobiographical data and general knowledge of the world

A

Generalized

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11
Q

dissociative identity disorder: insistence that alternate personalities inhabit separate bodies and are unaffected by the actions of one another

A

Cognitive distortion

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12
Q

dissociative identity disorder: unaware of the subpersonalities and is perplexed by lost time and unexplained events

A

Primary personality

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13
Q

dissociative identity disorder: often aware of the existence of each other to some degree

A

Subpersonalities

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14
Q

dissociative identity disorder: times of stress and may range from a dramatic to a barely noticeable event

A

Transition

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15
Q

dissociative identity disorder: lasting from minutes to months… Shorter periods are more common

A

Shift

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16
Q

Physical signs and symptoms with abnormal thoughts, feelings, and behaviors
Absence of physical findings or medical illness

A

Somatic disorders

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17
Q

Causative theories of somatic disorders

A

Genetic and familial factors
Learning and sociological factors
Psychological theory
Interpersonal model

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18
Q

Somatic disorder: deliberate fabrication of symptoms or slef-injury without obvious gains

A

Factitious disorder

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19
Q

Factitious disorder: deliberate fabrication of symptoms or injury is imposed upon another person often a child or another victim

A

Factitious disorder imposed on another

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20
Q

Factitious disorder: disorder by deception … Most severe and chronic form… “doctor shopping” in attempts to seek surgery and invasive diagnostic tests

A

Munchausen syndrome

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21
Q

Factitious disorder: manifested by a caregiver (usually a mother with a health care background)… Injuring a child to receive attention or sympathy

A

Munchausen syndrom by proxy

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22
Q

Factitious disorder: patient feigns sickness or disease through web forums

A

Munchausen by internet syndrome

23
Q

Involves a conscious process of intentionally producing symptoms for an obvious benefit

A

Malingering

24
Q

Symptoms of malingering

A

Highly subjective and difficult to prove or disprove

25
Q

Symptoms of somatic disorder

A

Vague, dramatized, or exaggerated presentation

Excessive amount of time is spent on worrying a d concern about symptoms

26
Q

Hypochondriasis
Unrealistic or inaccurate interpretation of physical symptoms or sensations, leading to preoccupation and fear of having a serious disease

A

Illness anxiety disorder

27
Q

symptoms or deficits that affect voluntary motor or sensory functions and that suggest a medical condition

A

Conversion disorder

28
Q

False belief that one is pregnant, while at the same time the woman’s body may mimic the signs and symptoms of pregnancy

A

Pseudocyesis

29
Q

Sleep wake disorder: characterized by difficulty in initiating or maintaining sleep or by excessive sleepiness

A

Dyssomnias

30
Q

Sleep wake disorder: occur during sleep but do not usually produce insomnia or excessive sleepiness

A

Parasomnias

31
Q

Persistent difficulty in initiating or maintaining sleep

A

Insomnia

32
Q

Insomnia: lifelong history of inability to obtain adequate sleep

A

Idiopathic insomnia

33
Q

Insomnia: learned sleep-preventing associations and heightened physiologic response to stress

A

Psychophysiologic insomnia

34
Q

Excessive daytime sleepiness

A

Narcolepsy

35
Q

Narcolepsy: sudden loss of muscle tone at times of unexpected emotion

A

Cataplexy

36
Q

Narcolepsy: hallucinatory experiences that occur at sleep onset or awakening

A

Hypnagogic hallucinations

37
Q

Is characterized by cessation of breathing for 10 seconds or longer occuring at least 5 times per hour

A

Sleep apnea

38
Q

Respiratory efforts of the diaphragm and intercostal muscles are apparent but ineffective against a collapsed or obstructed upper airway

A

Obstructive sleep apnea syndrome

39
Q

Periodic episodes of repetitive, stereotypic leg movements that occur during sleep, causing partial arousals

A

Periodic limb movement disorder

40
Q

Involves anything “crawling”, itching or tingling sensations of the leg while at rest and causes an almost irrwsistible urge to move

A

Restless leg syndrome

41
Q

Persistent recurrent sleep disruption due to changes in ciecadian rhythm

A

Circadian rhythm sleep disorder

42
Q

Circadian rhythm sleep disorder: non synchronous to the 24 hr environment

A

Time zone change syndrome

43
Q

Circadian rhythm sleep disorder: insomnia during the major sleep period… Excessive sleepiness, inadvertent sleep during major wakefulness period due tk shift work schedule

A

Shift work sleep disorder

44
Q

Arousal disorder: includes semi purposeful behavior. However the behavior may be lacking in coordination and appropriateness such as avoiding the closet

A

Sleepwalking or somnambulism

45
Q

Arousal disorder: sudden arousals from slow wave sleep accompanied by screaming, tachycardia, diaphoresis, and othe manifestations

A

Sleep terrors

46
Q

Sudden jerking movement of the legs that often occurs as a person is falling asleep

A

Sleep starts

47
Q

May occur during times of stress

A

Sleep talking

48
Q

Frightening dreams that arise in REM sleep and are often vividly recalled on awakening

A

Nightmares

49
Q

May be an extension of the normal state of low muscle tone during REM sleep

A

Sleep paralysis

50
Q

Grinding of the teeth during sleep

A

Sleep bruxism

51
Q

Bed wetting

A

Sleep enuresis

52
Q

Rhytmic in nature without episodes of apnea or hypoventilation

A

Primary snoring

53
Q

Nursing jnterventions in somatic disorders

A 
Offer meals at regular time 
Active meaningful activities during daytime
Monitor frequency and duration of naps
Individualized bedtime rituals
Provide uninterrupted sleep

Psychiatric Nursing (5 decks)

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