NU 664 FINAL EXAM ACTUAL EXAM QUESTIONS
AND ANSWERS (ALREADY GRADED) | LATEST
EDITION (2025)
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A. 1 or more somatic symptoms that are distressing or
cause significant disruption of daily life
B. Excessive thoughts, feelings, or behaviors r/t
somatic symptoms or health concerns manifested by
Somatic Symptom at least 1 of the following:
Disorder 1. Disproportionate & persistent thoughts about the
(Hypochondriasis) seriousness of one's symptoms
Diagnostic criteria 2. Persistently high anxiety about health or symptoms
3. Excessive time or energy devoted to symptoms or
health concerns
C. State of being symptomatic is persistent (more than
6 months)
Nonpsych medical conditions that show symptoms
Somatic Symptom
that are not easily diagnosed such as AIDS,
Disorder
endocrinopathies, myasthenia gravis, multiple
(Hypochondriasis)
sclerosis, degenerative diseases of the nervous
Common differentials and
system, systemic lupus erythematosus, and occult
assessment strategies
neoplastic disorders
Somatic Symptom A. Men & women equally affected
Disorder B. More common in black people than white people
(Hypochondriasis)
Epidemiology
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Somatic Symptom A. Can occur at any age, but most commonly appears
Disorder in people between age 20 to 30
(Hypochondriasis) Onset, B. Usually episodic - episodes last from months to
progression years separated by equally long periods of dormancy
A. Believe they have a serious disease that has not yet
Somatic Symptom
been detected and cannot be persuaded otherwise
Disorder
B. Can present as pain, fatigue, nausea, dizziness,
(Hypochondriasis) General
fainting, etc.
presentations and features
C. Depressive and anxiety symptoms commonly
of this diagnostic group
accompany somatic symptoms
A. Most will not agree to treatment because they do
Somatic Symptom not believe they have a psychiatric problem
Disorder B. Psychotherapy
(Hypochondriasis) C. Pharmacotherapy only works if they have an
Treatment underlying condition such as anxiety or depressive
disorder
A. Preoccupation with having or acquiring a serious
illness
B. Somatic symptoms are not present or if they are,
they are only mild in intensity. If there is a medical
condition or high risk for developing a medical
condition, preoccupation is excessive and
disproportionate
C. High level of anxiety about health and easily
Illness Anxiety Disorder alarmed about health status
Diagnostic criteria D. Performs excessive health-related behaviors (ie.
repeatedly checks body for signs of illness) or exhibits
maladaptive avoidance (ie. avoiding doctors appts or
hospitals)
E. Present for at least 6 months
F. Not better explained by another mental disorder
(ie. somatic symptom disorder, panic disorder,
generalized disorder, body dysmorphic disorder,
OCD, delusional disorder - somatic type)
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A. Same as Somatic Symptom Disorder
Illness Anxiety Disorder B. Psych differentials include the following disorders:
Common differentials and somatic symptom, adjustment, conversion, body
assessment strategies dysmorphic, mood, anxiety, psychotic, and
personality
Illness Anxiety Disorder A. Can occur at any age - no specific age of onset
Onset, progression B. Typically chronic
A. Few to no somatic symptoms but person is
Illness Anxiety Disorder primarily concerned that they are ill
General presentations and B. Can have a medical illness, but anxiety is out of
features of this diagnostic proportion for the medical diagnosis and they assume
group the worst possible outcome
C. Often there is an obsessive quality to person's fear
A. Most will not agree to treatment because they do
Illness Anxiety Disorder not believe they have a psychiatric problem
Treatment B. Psychotherapy
C. Pharmacotherapy to treat anxiety
A. 1 or more symptoms of altered voluntary motor or
sensory function
B. Clinical findings provide evidence of incompatibility
between the symptom and recognized neurological
Conversion Disorder or medical conditions
Diagnostic criteria C. Symptom or deficit not better explained by
another medical or mental disorder
D. Symptom or deficit cause significant distress or
impairment in social, occupational, or other areas of
functioning or warrants medical evaluation
Conversion Disorder Any and all diagnoses that can cause the symptoms
Common differentials and the patient is experiencing must be considered
assessment strategies
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