Somatic Symptom Disorders

Question 1

What are 5 symptoms of somatic symptom disorder?

Answer 1

1. Distressing symptoms
2. Maladaptive response
3. Without significant physical findings and medical diagnosis
4. Suffering is authentic
5. High level of functional impairment

Question 2

Define Somatic

Answer 2

Body

Question 3

How many symptoms does a somatic symptom disorder patient usually exhibit?

Answer 3

4 or 5, commonly GI symptoms

Question 4

True or False? Patients with Somatic Symptom Disorder usually “dr. shop”.

Answer 4

True

Question 5

What are the four characteristics of illness Anxiety Disorder?

Answer 5

1. Misinterpretation of physical sensations
2. Over concerned for health and preoccupied with symptoms
3. Extreme harry and fear
4. Course of illness chronic and relapsing

Question 6

Patients with Illness enacted disorder are afraid of what?

Answer 6

Acquiring an illness

Question 7

True or False Patients with Illness Anxiety Disorder do a lot of self checking for ailments and illnesses?

Answer 7

True

Question 8

How long must patients with Illness anxiety disorder exhibit symptoms to be diagnosed?

Answer 8

At least 6 months

Question 9

Define Conversion Disorder

Answer 9

Neurological symptoms in the absence of neurological diagnosis.

Question 10

Where in the body are the symptoms for patients with conversion disorder?

Answer 10

in voluntary motor and sensory functions

Question 11

What are common symptoms of patients with conversion disorder?

Answer 11

Paralysis, blindness, movement and gait disorders, numbness, paresthesias, loss of vision or hearing, episodes resembling epilepsy.

Question 12

Define La Belle Indifference

Answer 12

A naive, inappropriate lack of emotion or concern for the perceptions by others of one’s disability.

Question 13

Can psychological factors lead to medical diseases?

Answer 13

Yes, research focuses primarily on cancer and heart disease.

Question 14

What 5 things are included in the nursing assessment of a psychological problem that causes a medical disease?

Answer 14

1. Psychosocial factors “is there something wrong in your family”
2. Coping Skills
3. Spirituality and religion
4. Secondary gains
5. Cognitive style

Question 15

What is the primary gain of a psychological problem that causes a medical disease?

Answer 15

The reduction of the real issues. There is a trade off, you get bodily symptoms instead of the real stressors.

Question 16

What are nursing interventions for patients with a psychological problem that causes a medical disease?

Answer 16

Psychobiological interventions, pharmacological interventions, health teaching promotions.

Question 17

What meds are used to treat patients with a psychological problem that causes a medical disease?

Answer 17

SSRI’s a small dose to help with sleep

Question 18

Define Factitious Disorders

Answer 18

Artificially, deliberately, and dramatically fabricate symptoms of self inflict injury.

Question 19

What is the goal of a factitious disorder for the patient?

Answer 19

To assume the sick role

Question 20

What are 3 examples of Factitious disorders?

Answer 20

Self-directed, other-directed, malingering (milk the system for personal gain)

Question 21

Which problem does NOT fit the group?

a. Conversion disorder (functional neurological disorder)
b. Illness anxiety disorder (hypochondriasis)
c. Munchausen syndrome by proxy
d. Somatic symptom disorder

Answer 21

c. Munchausen syndrome by proxy

because its is conscious and it is effecting someone else

Question 22

Define Munchausen Syndrome

Answer 22

When factitious disorder is unrelenting and pathological lying becomes fraught with exaggerated tales.