MENTAL HEALTH EXAM 1 NEWEST 2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+NEWEST VERSION.pdf

NURS 2488 MENTAL HEALTH EXAM 3!!! BEST EXAM STU
m m m m m m m m


DY GUIDE DOWNLOAD Score A+/RATED A+.
m mm m m m




Mental Health Exam 3 Concept Gu
m m m m m



ide (Modules 7, 8, 9)
m m m m m




Somatic Symptom Disorder- NON INTENTIONAL
m m m m



• people with this disorder are extremely persistently preoc
m m m m m m m



cupied with and distressed by their perceived health issue
m m m m m m m m



s
• demand unnecessary tests, noncompliant with provider recomme
m m m m m m



ndations
• significant life impairment, preoccupation and high anxiety
m m m m m m



• “doctor shopping” when they do not receive the answers fr
m m m m m m m m m



om physicians, undergo unnecessary surgeries, invasive dia
m m m m m m



gnostic procedures & drug trials
m m m m



• usually diagnosed with depressive and/or anxiety disorders
m m m m m m




Somatoform Disorder Nursing Interventions
m m m



• offer explanations and support-
m m m



m reduces anxiety (don’t reinforce illness)
m m m m



• avoid further reinforcement- direct focus away
m m m m m



• observe and record frequency and intensity of somatic symptoms
m m m m m m m m



- establishes baseline
m m



• DO NOT imply symptoms are not real (they are real to pts)
m m m m m m m m m m m



• Assess secondary gains m m



• Use straightforward approach- avoid power struggle
m m m m m



• Reinforce pts strengths and problem-solving abilities-
m m m m m



m contributes to positive self esteem m m m m



• Stress reduction- m

,NURS 2488 MENTAL HEALTH EXAM 3!!! BEST EXAM STU
m m m m m m m m


DY GUIDE DOWNLOAD Score A+/RATED A+.
m mm m m m




m provides alternative coping strategies and reduces need for meds
m m m m m m m m




Secondary Gains (for somatoform disorders)
m m m m




• Benefits derived from the symptoms alone. Ex: in the sick role,
m m m m m m m m m m m



patient is not able to perform normal family, work, and social f
m m m m m m m m m m m



unctions and receives extra attention from loved ones. If pts de
m m m m m m m m m m



rives personal benefit from the symptoms, relinquishing the sy
m m m m m m m m



mptoms is more difficult.m m m



• Approach to identifying presence of secondary gains is to ask que
m m m m m m m m m m



stions such as: m m



o What abilities have you lost since the development of your
m m m m m m m m m m



symptom(s) ? m



o How has this problem affected your life? Are there things y
m m m m m m m m m m



ou can no longer do?
m m m m



o Depending upon the individual patient and your rapport
m m m m m m m



, the nurse might gently approach whether there is anyt
m m m m m m m m m



hing positive obtained because of the disorder.
m m m m m m




Hypochondria’s (Illness anxiety disorder) Prominent health anxiety
m m m m m m



• Preoccupied with having or eventually developing a serious illness
m m m m m m m m



• May or may not present with somatic symptoms, and if so-
m m m m m m m m m m



m usually mild. m



o Unintentional and not under conscious control m m m m m



o Significant distress or dysfunction m m m



• Preoccupied with belief of having a devastating sickness or diseas
m m m m m m m m m



e

,NURS 2488 MENTAL HEALTH EXAM 3!!! BEST EXAM STU
m m m m m m m m


DY GUIDE DOWNLOAD Score A+/RATED A+.
m mm m m m




• Inability to function in personal, social, and occupational roles are
m m m m m m m m m m



often impaired m




Conversion disorder- m



m (also called Functional Neurobiological Symptom Disorder)
m m m m m



• Presents with one or more symptoms of impaired motor or sen
m m m m m m m m m m



sory functionm



• Incompatible or exaggeration of recognized neurological c
m m m m m m



onditions, not explained by another mental or medical diso
m m m m m m m m



rder
• Causes significant distress to the patient and impaired social or
m m m m m m m m m



m occupational functioning m



• Symptoms: (episodes are typically brief but may become chron
m m m m m m m m



ic)
o weakness or paralysis m m



o abnormal movement m



o swallowing or speech difficulties m m m



o seizures or attacks m m



o sensory loss or anesthesia
m m m



o symptoms involving the senses (blindness or loss of smel
m m m m m m m m



l)
• symptoms are not voluntarily controlled or created.
m m m m m m



• La bella indifference: patients who are highly distressed or show
m m m m m m m m m



m lack of emotional concern.
m m m



• Comorbidities include: childhood abuse, depression, a
m m m m m



nxiety and personality disorders Nursing intervention:
m m m m m



• Behavioral therapy m

, NURS 2488 MENTAL HEALTH EXAM 3!!! BEST EXAM STU
m m m m m m m m


DY GUIDE DOWNLOAD Score A+/RATED A+.
m mm m m m




• Family therapy m



• Hypnosis
• Anxiolytics- used to reduce anxiety m m m m




Dissociative Fugue- m



• patient in a fugue state frequently relocates and assumes a ne
m m m m m m m m m m



w identity while not recalling previous identity or places previ
m m m m m m m m m



ously inhabited. The distracters are more consistent with para
m m m m m m m m



noid schizophrenia, generalized anxiety disorder, or bipolar di
m m m m m m m



sorder
• rather lead simple lives not calling attention to themselves,
m m m m m m m m



m as time progresses the person may remember their forme
m m m m m m m m



r identity and then become amnesic of the time in the fugu
m m m m m m m m m m m



e state.
m



• USUALLY PRECIPITATED BY A TRAUMATIC EVENT
m m m m m



• Implementation: Dissociative disorders is treated in the co m m m m m m m



mmunity, but may be admitted to a psychiatric unit when
m m m m m m m m m m



suicidal or in need of crisis stabilization
m m m m m m



• Teaching: teaching about illness and instructions in coping skills
m m m m m m m m m



and stress management. Patients keep
m m m m



a daily journal to increase awareness of feelings and to identify tr
m m m m m m m m m m m



iggers
• Treatment: psychotherapy- m



m primary and most effective treatment. Therapy needs to be
m m m m m m m m



m flexible. Techniques include: m m



o Psychoeducation
o Processing memories and trauma through talking
m m m m m