NUR 356 Exam 2 Questions with Correct Answers Latest Update

NUR 356 Exam 2 Questions with Correct Answers Latest Update shuffle the quizlet - Answers shuffle the quizlet what are somatic symptoms disorders? - Answers - characterized by PHYSICAL symptoms client somatizations.. - Answers demonstrate an inability to cope A loss of or change in body function that cannot be explained by any known medical disorder or pathophysiological mechanism - Answers conversion disorder ex. Ricky bobby how would you know a client might be suffering from somatic symptom disorder? - Answers a client might visit 8 different healthcare providers in the last 3 months for the same sompatic/physical symptoms, but there is "no true cause" a patient is consistently visiting the doctor's office for multiple symptoms that cannot be explained medically and are trying to seek assistance or reassurance - Answers somatic symptom disorder this disorder will affect voluntary motor or sensory functioning - Answers conversion disorder conscious, intentional feigning of physical and/or psychological symptoms. this individual is pretending to be ill to receive care and support - Answers factitious disorder what is illness anxiety disorder - Answers disproportionate and persistent thoughts about seriousness of one's symptoms Munchausen syndrome by proxy - Answers when a factitious disorder is imposed on another person under the care of the perpetrator ** think of gypsy rose's situation A client, experiencing lower extremity paralysis, is admitted to a medical unit. Extensive tests confirm disability but rule out any underlying organic pathology. The nurse concludes that this is most suggestive of which disorder? A. conversion disorder B. illness anxiety disorder C. Malingering D. Somatic symptom disorder - Answers conversion disorder A client is experiencing pain that has no organic etiology. This pain allows the client to avoid going to work at a job that he hates. What best describes what this client is experiencing? a. Altered social interaction b. Disturbed thought processes c. Primary gain d. Secondary gain - Answers primary gain ** primary gain describes the benefit to the client avoiding unpleasant activity due to experiencing psychologically based pain. the client will do this to decrease their anxiety what is dissociative amnesia - Answers the inability to recall important information that is **too extensive to be explained by ordinary forgetfulness** this will usually happen after severe psychosocial stress the individual has amnesia for his or her identity and total life history a. localized amnesia b. selective amnesia c. generalized amnesia - Answers c. generalized amnesia the individual is unable to recall all incidents associated with a stressful period a. localized amnesia b. selective amnesia c. generalized amnesia - Answers a. localized amnesia the individual can recall only certain incidents associated with a stressful event for a specific period after the event a. localized amnesia b. selective amnesia c. generalized amnesia - Answers b. selective amnesia what is dissociative fugue - Answers sudden and unexpected travel, inability to remember his past, confusion about personal identity. assume new identities altogether dissociative identity disorder / multiple personality disorder - Answers characterized by the existence of two or more personality states in a single individual depersonalization-derealization disorder - Answers a temporary change in quality of self-awareness - feelings of unreality - changes in body image - feelings of detachment - a sense of observing oneself from outside the body according to psychodynamic theory, which primary defense mechanism would the nurse expect to find in a client with dissociative amnesia a. suppression b. sublimation c. displacement d. repression - Answers repression ** Freud believed that individuals with dissociative amnesia will repress distressing mental contents from their conscious awareness when working on a client diagnosed with somatic symptom disorder, which is the most appropriate nursing action a. avoid discussing social and personal problems