Somatoform and Dissociative Disorders Flashcards
somatize definition
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)
dissociation definition
unlike daydreaming pt. seems to “leave body-altered personality”
with somatic disorders the pt. understands they need psych trt, t or f
false - don’t think they have psych problems, they truly believe there’s a physical problem
pt with somatic disorders typically have
low tolerance for pain and are non-communicative
*what is factitious disorder
individual makes up disorders (doesn’t feel them)
may inflict injuries to assume sick role
*what is Munchhausen disorder
severe form of fictitious disorder - make themselves sick so they can get medical treatment/attention
*is malingering disorder a somatoform disorder, y or n
no
what is a malingering disorder
claim to have hallucinations/suicidal thoughts so they could be admitted to a hospital for bed/meals
clinical presentation of somatoform disorders
multiple providers for care - expensive
most complain of pain
onset prior to age 30
what is the underlying problem in somatoform disorders
anxiety - can’t easily express themselves
most common form of a somatoform disorder
hypochondriasis
what is hypochondria
the belief that they have a serious illness
what is conversion disorder
an unconscious functional neurological disorder - one day awakes and claim they can’t see/walk with no evidence despite neuro exams
what is body dysmorphic disorder
(M.J.) minor body defects are viewed as major, go to great lengths to correct it
2 classes of disorders for mind/body
somatoform and dissociative
what is a dissociative disorders
altered mind-body connection assoc. w/stress and anxiety
what do you say to someone with conversion disorder
lets talk about your feelings
in DID people form alternate personalities, t or f
true
what is dissociative amnesia
inability to recall information after a traumatic event
3 types of amnesia
generalized
localized
selective
DID dissociative identity disorder is AKA
multiple personality disorder (2 or more personality traits)
theory of DID (cause)
severe sexual, physical, psychological trauma in childhood
s/s of DID
called by an unknown name by a stranger
don’t remember outfit in closet
confusion r/t period of lost time
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:
B.Be resistant to accepting psychiatric help.
Which assessment finding best supports dissociative fugue? The patient states:
A.“I cannot recall why I’m living in this town.”
