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NURS 406 > Somatization > Flashcards

Somatization Flashcards

Final exam

1
Q

Psychosomatic

A

connection between mind (psyche) and body (soma)

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2
Q

Hysteria

A

multiple physical complaints with no organic basis

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3
Q

What was proposed by Freud:

A

Proposal by Freud that people can convert unexpressed emotions into physical symptoms

Hysteria

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4
Q

Somatization

A

transference of mental experiences, states into body symptoms

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5
Q

Somatic Symptom Illness have how many central features?

A

3

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6
Q

What are the three central features of somatic symptom illnesses?

A
  1. Physical complaints suggest major medical illness but have no demonstrable organic basis.
  2. Conflicts and/or stress seem important in initiating, exacerbating, and maintaining symptoms.
  3. Symptoms or magnified health concerns are not under client’s conscious control.
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7
Q

Types of Somatic Symptom Illnesses are described as:

A

Medical Conditions that can not be explained by medical evaluation

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8
Q

Three types of somatic symptom illnesses

A
  1. Somatic symptom disorder
  2. Conversion disorder
  3. Pain Disorder
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9
Q

When are somatic symptom disorders diagnosed?

A

Somatic symptom disorder isdiagnosed when a person has a significant focus on physical symptoms, such as pain, weakness or shortness of breath, to a level that results in major distress and/or problems functioning.

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10
Q

Conversion disorder

A

Conversion disorder isa condition in which a person experiences physical and sensory problems, such as paralysis, numbness, blindness, deafness or seizures, with no underlying neurologic pathology.

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11
Q

When do symptoms of conversion disorder usually begin?

A

Symptoms usually begin suddenly after a period of emotional or physical distress or psychological conflict

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12
Q

What does conversion disorder display?

A

Conversion disorder, displays la belle indifférence )

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13
Q

la belle indifférence

A

lack of concern about health condition

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14
Q

Pain disorder

A

Pain disorder ischronic pain which is believed to be caused by psychological stress. The pain is often so severe that it disables the patient from proper functioning.

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15
Q

When is the onset of somatization? When is diagnosis made?

A

Symptoms often experienced in adolescence; diagnoses may not be made until early adulthood.

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16
Q

Are somatic illnesses chronic or recurrent?

A

Either chronic or recurrent

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17
Q

How do patients relieve symptoms of somatic illnesses?

A

Clients go from one physician or clinic to another, or see multiple providers at once, to obtain relief of symptoms except conversion disorder

18
Q

Patients with what disorder do not go to different doctors to relieve symptoms?

A

Clients go from one physician or clinic to another, or see multiple providers at once, to obtain relief of symptoms except conversion disorder

19
Q

How do patients with somatic illnesses feel about healthcare in general?

A

Clients tend to be pessimistic about medical establishment.

20
Q

How are somatic illnesses controlled by the patient?

A

The symptoms of somatic symptom illness are not under the client’s voluntary control.

21
Q

Treatment of somatic illnesses

A

Symptom management, improvement in quality of life

Antidepressants for accompanying depression: SSRIs

Therapy

Stress Management

22
Q

Somatic Illness Nursing Process Application Assessment- What do you do first

A

Investigation of physical health status; screening

23
Q

Somatic Illness Nursing Process Application Assessment- History

A

usually detailed medical history; distress about health status (except client with conversion disorder, who displays la belle indifférence )lack of concern about health condition

24
Q

Somatic Illness Nursing Process Application Assessment- appearance and motor behavior

A

General appearance and motor behavior

25
Q

Somatic Illness Nursing Process Application Assessment- Mood and Affect

A

labile; exaggerated emotions; or extremely calm

26
Q

Nursing Process Application: Assessment- Thought and process content

A

unlikely to be able to think about emotional feelings—focus on physical health/sensations

27
Q

Nursing Process Application: Assessment- Judgment and insight

A

little or no insight into behavior

28
Q

Nursing Process Application: Assessment- Roles and relationships

A

unlikely to be employed/impairment in relationships

29
Q

Nursing Process Application: Outcome identification

A

Identify relationship between stress and physical symptoms

Verbally express emotions/feelings

Establish and follow a daily routine

Demonstrate alternate ways to deal with stress, anxiety, and other feelings

Demonstrate healthy behaviors regarding rest, activity, and nutritional intake

30
Q

Nursing Process Application: Intervention

A

Provide health teaching: improved health behaviors
Help client express emotions: journaling; limiting time focused on physical complaints
Teach coping strategies

31
Q

Self-Awareness Issues

A

Deal with feelings of frustration.

Be realistic about small successes.

Accept client and his or her continued complaints without being judgmental.

Validate client’s feelings.

Remember the complaints are not under client’s voluntary control.

32
Q

Related Disorders (Intentional)

A

Malingering

Factitious disorder

Factitious disorder

33
Q

Malingering

A

intentional production of false or grossly exaggerated symptoms; external incentives as motivation

34
Q

Factitious disorder- 2 types

A
  1. Munchausen syndrome
  2. Munchausen syndrome by proxy
35
Q

Factitious disorder-Munchausen syndrome

A

imposed on self (Munchausen syndrome)

for attention

36
Q

Factitious disorder-Munchausen by proxy

A

imposed on others (Munchausen syndrome by proxy)

37
Q

When do factitious disorders occur?

A

Factitious disorder occurs when a person intentionally produces or feigns physical or psychological symptoms solely to gain attention.

38
Q

Etiology of Intentional somatic illnesses?Psychosocial theories

A

Primary gains

Secondary gains

39
Q

Etiology of Primary gains

A

direct internal benefits of being sick— relief of anxiety, conflict, or distress

40
Q

Etiology of Secondary gains

A

external or personal benefits from others because one is sick—attention and comfort measures

NURS 406 (29 decks)

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