NRNP 6665 - Mid Term exam with 100% verified solutions
1.An illness of symptoms or deficits that affect voluntary motor or sensory
functions, which suggest another medical condition but that is judged to be
caused by psychological factors because the illness is preceded by conflicts or
other stressors in known as which of the following?
A. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom-answer D. Functional neurological
symptom-answer Conversion disorder, also called functional neurological
symptom disorder,is de- fined as a psychiatric illness in which a neurological
or general medical condition cannot explain symptoms and signs affecting
voluntary motor or sensory function. Psychological factors, such as conflicts
or stress, are judged to be associated with the deficits.The term conversion
disorder was coined by Sigmund Freud, who hypothesized that the occurrence
of specific symptoms not explained by organic diseases reflects unconscious
conflict.3 The word conversion refers to substituting a somatic symptom for a
repressed idea.
Common examples of conversion symptoms include blindness, paralysis,
dysto- nia, psychogenic nonepileptic seizures (PNES), anesthesia, swallowing
difficulties, motor tics, difficulty walking, hallucinations, anesthesia, and
dementia.5 In patients with conversion disorder, these symptoms are not
caused directly by a physiological effect; rather these symptoms are caused by
a psychological conflict. Patients diag- nosed with conversion disorder are not
feigning the signs and symptoms. Despite the lack of a definitive organic
diagnosis, the patient's distress is very real and the physical symptoms the
patient is experiencing cannot be controlled at will