Study Guide Test 3: NUR175
Definitions:
● Depersonalization Disorder: Persistent or recurrent alteration in the perception
of self while reality testing remains intact.
○ Person may feel mechanical or dreamy, a sense of unreality, slow
movement of time, or detachment from the body.
○ Person feels as if he or she is seeing themself from a distance or outside of
the body.
○ Some report disturbing perception of their limbs being larger or smaller
than usual.
○ May be preceded by severe stress, or childhood emotional trauma.
○ Scenario: Janet is admitted to the ED with a sensation of “floating” and
“not feeling very real.” Her ex-husband is with her and says, “they were
arguing over the deaths of their infant twins in a car accident last year, in
which Janet was the driver at fault. This whole thing led to our divorce.”
● Derealization Disorder: Persistent or recurrent experiences of unreality of
surroundings while reality testing remains intact.
○ Often an unreal, dreamlike, numb, or distorted experience in familiar
surroundings.
● Antisocial personality disorder: AKA dyssocial personality, characterized by
deceit, manipulation, revenge, and harm to others with an absence of remorse for
hurting others.
○ Have a sense of entitlement, meaning they believe they have the right to
hurt others, take what they want, treat others unfairly, destroy the property
of others, etc, (callousness).
○ They do not adhere to traditional values or standards of morality
○ Do not take responsibility for their actions
○ Lack regard for the law and rights of others and have a hx of persistent
lying, use of aliases, conning others for personal profit or pleasure, and
stealing (deceitfulness).
● Illness anxiety disorder (hypochondriasis): Misinterpretation of innocent
physical sensations as evidence of serious illness.
○ Cannot be reassured by negative diagnostic test findings
○ Seek extensive medical care with frustrating results
○ Most refuse referral to a psychiatrist because they believe their symptoms
are physical.
Definitions:
● Depersonalization Disorder: Persistent or recurrent alteration in the perception
of self while reality testing remains intact.
○ Person may feel mechanical or dreamy, a sense of unreality, slow
movement of time, or detachment from the body.
○ Person feels as if he or she is seeing themself from a distance or outside of
the body.
○ Some report disturbing perception of their limbs being larger or smaller
than usual.
○ May be preceded by severe stress, or childhood emotional trauma.
○ Scenario: Janet is admitted to the ED with a sensation of “floating” and
“not feeling very real.” Her ex-husband is with her and says, “they were
arguing over the deaths of their infant twins in a car accident last year, in
which Janet was the driver at fault. This whole thing led to our divorce.”
● Derealization Disorder: Persistent or recurrent experiences of unreality of
surroundings while reality testing remains intact.
○ Often an unreal, dreamlike, numb, or distorted experience in familiar
surroundings.
● Antisocial personality disorder: AKA dyssocial personality, characterized by
deceit, manipulation, revenge, and harm to others with an absence of remorse for
hurting others.
○ Have a sense of entitlement, meaning they believe they have the right to
hurt others, take what they want, treat others unfairly, destroy the property
of others, etc, (callousness).
○ They do not adhere to traditional values or standards of morality
○ Do not take responsibility for their actions
○ Lack regard for the law and rights of others and have a hx of persistent
lying, use of aliases, conning others for personal profit or pleasure, and
stealing (deceitfulness).
● Illness anxiety disorder (hypochondriasis): Misinterpretation of innocent
physical sensations as evidence of serious illness.
○ Cannot be reassured by negative diagnostic test findings
○ Seek extensive medical care with frustrating results
○ Most refuse referral to a psychiatrist because they believe their symptoms
are physical.
