RASMUSSEN MENTAL HEALTH EXAM 3 LATEST REAL EXAM ALL QUESTIONS AND
CORRECT ANSWERS|A+GRADE
Somatoform Disorders -(answer)Characterized by the presence of one or more physical symptoms
accompanied by abnormal thoughts, feelings, and behavioral reactions in response to these symptoms,
often in the absence of known physical findings or medical illnesses that would explain them.
Somatization may be used for secondary gains such as attention and decreased responsibilities.
Often undergo unnecessary surgeries, invasive diagnostic procedures, and drug trials, all of which can be
life-threatening.
Hypochondriasis or Illness Anxiety Disorder -(answer)Preoccupied with having or eventually developing
a serious illness.
May or may not present with somatic symptoms, and if they do, the symptoms are usually mild.
High level of anxiety and alarm about their health lasting at least 6 months, and may either excessively
check for problems or avoid medical care.
Hypochondriasis Nursing Interventions -(answer)The most common symptoms are pain, gastric or
intestinal distress, palpitations, dizziness, shortness of breath, sexual dysfunction, neurological
symptoms, and fatigue.
Nurses role is to assess for any objective data and to explain the health complaints. Show concern, but
avoid fostering dependency.
Conversion Disorder -(answer)This disorder presents with one or more symptoms of impaired motor or
sensory function. Findings are incompatible with or an exaggeration of recognized neurological
conditions and are not better explained by another mental or medical disorder.
,RASMUSSEN MENTAL HEALTH EXAM 3 LATEST REAL EXAM ALL QUESTIONS AND
CORRECT ANSWERS|A+GRADE
Most common are blindness, deafness, paralysis, inability to talk. Symptoms are beyond conscious
control and are related directly to conflict .
Conversion Disorder Assessment -(answer)Rule out physiological causes for symptoms or deficits.
Physical limitation or disability, feelings of guilt, anxiety, or frustration.
Low self esteem and feelings of inadequacy, unexpressed anger/guilt, conflict.
Secondary gain is attention, decrease in workload, decreased responsibilities.
Conversion Disorder Nursing Interventions -(answer)Encourage independence in ADL's in a matter of
fact manner.
Factitious Disorder Imposed On Self or Munchausen Syndrome -(answer)Refers to the deliberate
fabrication of symptoms or self-injury, without obvious external reward or gain. The patient identifies
himself/herself in a deceptive manner to others as sick or impaired. This disorder is further specified as a
single episode or recurrent.
Malingering -(answer)Different from Factitious disorder because there is an external incentive such as
missing work, evading criminal prosecution, obtaining
financial gain. Symptoms stop as soon as they gain what they wanted.
Munchausen Nursing Interventions -(answer)- Explore the needs being met by the client, assist with
identification of alternative ways to meet needs.
- Teach the client to relate feelings and conflicts with the physical symptoms.
, RASMUSSEN MENTAL HEALTH EXAM 3 LATEST REAL EXAM ALL QUESTIONS AND
CORRECT ANSWERS|A+GRADE
- Convey understanding that symptoms are real to the client, assure illness has been ruled out.
- Explore the source of the anxiety, stimulate verbalization of the anxiety.
- Encourage relaxation techniques, use pain assessment scale implement pain reduction.
- Report and assess any new physical complaint, provide positive feedback.
- Encourage diversional activities, encourage the client to recognize their emotions.
Dissociative Disorders -(answer)A disturbance in the normally well-integrated continuum of
consciousness, memory, identity, and perception.
Dissociation is an unconscious defense mechanism to protect the individual against overwhelming
anxiety related to past trauma, and ranges from minor to severe in presentation.
Patients with dissociative disorders have intact reality testing, meaning they are not delusional or
hallucinating.
Dissociative Fugue -(answer)The patient in a fugue state frequently relocates and assumes a new
identity while not recalling previous identity or places previously inhabited.
The distracters are more consistent with paranoid schizophrenia, generalized anxiety disorder, or
bipolar disorder. Head injury, posttraumatic stress disorder, or a neurological disorder should also be
considered.
Dissociative Amnesia -(answer)Related to a traumatic incident, and may be accompanied by a fugue
where the patient flees from their normal life to another location and starts a new life. Gradually over
time, memories of the original life may be triggered. Patients can become confused and embarrassed
when the amnesia subsides and memory returns.
CORRECT ANSWERS|A+GRADE
Somatoform Disorders -(answer)Characterized by the presence of one or more physical symptoms
accompanied by abnormal thoughts, feelings, and behavioral reactions in response to these symptoms,
often in the absence of known physical findings or medical illnesses that would explain them.
Somatization may be used for secondary gains such as attention and decreased responsibilities.
Often undergo unnecessary surgeries, invasive diagnostic procedures, and drug trials, all of which can be
life-threatening.
Hypochondriasis or Illness Anxiety Disorder -(answer)Preoccupied with having or eventually developing
a serious illness.
May or may not present with somatic symptoms, and if they do, the symptoms are usually mild.
High level of anxiety and alarm about their health lasting at least 6 months, and may either excessively
check for problems or avoid medical care.
Hypochondriasis Nursing Interventions -(answer)The most common symptoms are pain, gastric or
intestinal distress, palpitations, dizziness, shortness of breath, sexual dysfunction, neurological
symptoms, and fatigue.
Nurses role is to assess for any objective data and to explain the health complaints. Show concern, but
avoid fostering dependency.
Conversion Disorder -(answer)This disorder presents with one or more symptoms of impaired motor or
sensory function. Findings are incompatible with or an exaggeration of recognized neurological
conditions and are not better explained by another mental or medical disorder.
,RASMUSSEN MENTAL HEALTH EXAM 3 LATEST REAL EXAM ALL QUESTIONS AND
CORRECT ANSWERS|A+GRADE
Most common are blindness, deafness, paralysis, inability to talk. Symptoms are beyond conscious
control and are related directly to conflict .
Conversion Disorder Assessment -(answer)Rule out physiological causes for symptoms or deficits.
Physical limitation or disability, feelings of guilt, anxiety, or frustration.
Low self esteem and feelings of inadequacy, unexpressed anger/guilt, conflict.
Secondary gain is attention, decrease in workload, decreased responsibilities.
Conversion Disorder Nursing Interventions -(answer)Encourage independence in ADL's in a matter of
fact manner.
Factitious Disorder Imposed On Self or Munchausen Syndrome -(answer)Refers to the deliberate
fabrication of symptoms or self-injury, without obvious external reward or gain. The patient identifies
himself/herself in a deceptive manner to others as sick or impaired. This disorder is further specified as a
single episode or recurrent.
Malingering -(answer)Different from Factitious disorder because there is an external incentive such as
missing work, evading criminal prosecution, obtaining
financial gain. Symptoms stop as soon as they gain what they wanted.
Munchausen Nursing Interventions -(answer)- Explore the needs being met by the client, assist with
identification of alternative ways to meet needs.
- Teach the client to relate feelings and conflicts with the physical symptoms.
, RASMUSSEN MENTAL HEALTH EXAM 3 LATEST REAL EXAM ALL QUESTIONS AND
CORRECT ANSWERS|A+GRADE
- Convey understanding that symptoms are real to the client, assure illness has been ruled out.
- Explore the source of the anxiety, stimulate verbalization of the anxiety.
- Encourage relaxation techniques, use pain assessment scale implement pain reduction.
- Report and assess any new physical complaint, provide positive feedback.
- Encourage diversional activities, encourage the client to recognize their emotions.
Dissociative Disorders -(answer)A disturbance in the normally well-integrated continuum of
consciousness, memory, identity, and perception.
Dissociation is an unconscious defense mechanism to protect the individual against overwhelming
anxiety related to past trauma, and ranges from minor to severe in presentation.
Patients with dissociative disorders have intact reality testing, meaning they are not delusional or
hallucinating.
Dissociative Fugue -(answer)The patient in a fugue state frequently relocates and assumes a new
identity while not recalling previous identity or places previously inhabited.
The distracters are more consistent with paranoid schizophrenia, generalized anxiety disorder, or
bipolar disorder. Head injury, posttraumatic stress disorder, or a neurological disorder should also be
considered.
Dissociative Amnesia -(answer)Related to a traumatic incident, and may be accompanied by a fugue
where the patient flees from their normal life to another location and starts a new life. Gradually over
time, memories of the original life may be triggered. Patients can become confused and embarrassed
when the amnesia subsides and memory returns.
