Somatoform and Dissociative Disorders

Question 1

somatize definition

Answer 1

physical symptoms that are not there according to dx criteria (disorder is psychological, easier to focus on physical rather than anxiety that exists with the disorder)

Question 2

dissociation definition

Answer 2

unlike daydreaming pt. seems to “leave body-altered personality”

Question 3

with somatic disorders the pt. understands they need psych trt, t or f

Answer 3

false - don’t think they have psych problems, they truly believe there’s a physical problem

Question 4

pt with somatic disorders typically have

Answer 4

low tolerance for pain and are non-communicative

Question 5

*what is factitious disorder

Answer 5

individual makes up disorders (doesn’t feel them)

may inflict injuries to assume sick role

Question 6

*what is Munchhausen disorder

Answer 6

severe form of fictitious disorder - make themselves sick so they can get medical treatment/attention

Question 7

*is malingering disorder a somatoform disorder, y or n

Answer 7

no

Question 8

what is a malingering disorder

Answer 8

claim to have hallucinations/suicidal thoughts so they could be admitted to a hospital for bed/meals

Question 9

clinical presentation of somatoform disorders

Answer 9

multiple providers for care - expensive
most complain of pain
onset prior to age 30

Question 10

what is the underlying problem in somatoform disorders

Answer 10

anxiety - can’t easily express themselves

Question 11

most common form of a somatoform disorder

Answer 11

hypochondriasis

Question 12

what is hypochondria

Answer 12

the belief that they have a serious illness

Question 13

what is conversion disorder

Answer 13

an unconscious functional neurological disorder - one day awakes and claim they can’t see/walk with no evidence despite neuro exams

Question 14

what is body dysmorphic disorder

Answer 14

(M.J.) minor body defects are viewed as major, go to great lengths to correct it

Question 15

2 classes of disorders for mind/body

Answer 15

somatoform and dissociative

Question 16

what is a dissociative disorders

Answer 16

altered mind-body connection assoc. w/stress and anxiety

Question 17

what do you say to someone with conversion disorder

Answer 17

lets talk about your feelings

Question 18

in DID people form alternate personalities, t or f

Answer 18

true

Question 19

what is dissociative amnesia

Answer 19

inability to recall information after a traumatic event

Question 20

3 types of amnesia

Answer 20

generalized
localized
selective

Question 21

DID dissociative identity disorder is AKA

Answer 21

multiple personality disorder (2 or more personality traits)

Question 22

theory of DID (cause)

Answer 22

severe sexual, physical, psychological trauma in childhood

Question 23

s/s of DID

Answer 23

called by an unknown name by a stranger
don’t remember outfit in closet
confusion r/t period of lost time

Question 24

A medical-surgical nurse works with a patient diagnosed with a somatic system disorder. Care planning is facilitated by understanding that the patient will probably:

Answer 24

B.Be resistant to accepting psychiatric help.

Question 25

Which assessment finding best supports dissociative fugue? The patient states:

Answer 25

A.“I cannot recall why I’m living in this town.”