Somatoform/Dissociative Disorders

Question 1

pt with somatoform disorders believe

Answer 1

they have a physical illness, even though results are (-)

Question 2

what is underlying a somatoform disorder

Answer 2

anxiety

Question 3

a dissociative disorder is

Answer 3

someone assuming a whole other personality triggered by a severely traumatic event

Question 4

when assessing someone with a somatoform disorder ask

Answer 4

when did symptoms start
where in the body are the symptoms
how long is it going on
is it effecting their ability to get basic needs met

Question 5

commonly reported symptoms of somatoform disorder

Answer 5

pain (chest, back, neck)

nausea, shortness of breath, constipation

Question 6

an example of somatoform disorder

Answer 6

hypochondriasis

Question 7

in somatoform disorders its important to rule out

Answer 7

medical conditions

Question 8

main goal in care of somatoform complaints

Answer 8

get pt. back to where they were (work)

shift focus from somatic complaints to feelings and identify how their going to cope with feelings of anxiety

Question 9

A patient says, “I know I have a brain tumor despite the results of the magnetic resonance image (MRI). The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day.” Which response by the nurse fosters cognitive restructuring?

Answer 9

B.“Let’s see whether any other explanations for your vomiting are possible.”

Question 10

trt for somatoform disorders

Answer 10

case management - psychotherapy (CBT, group therapy)

Question 11

A patient has blindness related to a functional neurological (conversion) disorder. To help the patient eat, the nurse should:

Answer 11

B.expect the patient to feed him-or herself after explaining the arrangement of the food on the tray.

Question 12

assessment of dissociative disorders

Answer 12

rule out medical illness, substance use, psych disorders

Question 13

s/s of dissociative identity disorder

Answer 13

clothes i don’t remember in closet, people on street call them by a different name, memory gaps

Question 14

what type of therapy is used for dissociative identity disorder

Answer 14

cognitive behavioral therapy (CBT) - the only thing that will help them get better (build trust)

Question 15

***most effective trt for DID

Answer 15

psychotherapy (talking through trauma, safety plan, journaling, artwork)

Question 16

A nurse counseling a patient with a dissociative identity disorder should understand that the assessment of highest priority is:

Answer 16

A.Risk for self-harm (safety**)