MENTAL HEALTH EXAM 3 NEWEST 2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT.PDF

NURS 2488 MENTAL HEALTH EXAM 3!!! BEST EXAM STU
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DY GUIDE DOWNLOAD Score A+/RATED A+.
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Mental Health Exam 3 Concept Gu
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ide (Modules 7, 8, 9)
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Somatic Symptom Disorder- NON INTENTIONAL
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• people with this disorder are extremely persistently preoc
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cupied with and distressed by their perceived health issue
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s
• demand unnecessary tests, noncompliant with provider recomme
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ndations
• significant life impairment, preoccupation and high anxiety
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• “doctor shopping” when they do not receive the answers fr
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om physicians, undergo unnecessary surgeries, invasive dia
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gnostic procedures & drug trials
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• usually diagnosed with depressive and/or anxiety disorders
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Somatoform Disorder Nursing Interventions
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• offer explanations and support-
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m reduces anxiety (don’t reinforce illness)
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• avoid further reinforcement- direct focus away
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• observe and record frequency and intensity of somatic symptoms
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- establishes baseline
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• DO NOT imply symptoms are not real (they are real to pts)
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• Assess secondary gains m m



• Use straightforward approach- avoid power struggle
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• Reinforce pts strengths and problem-solving abilities-
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m contributes to positive self esteem m m m m



• Stress reduction- m

,NURS 2488 MENTAL HEALTH EXAM 3!!! BEST EXAM STU
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DY GUIDE DOWNLOAD Score A+/RATED A+.
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m provides alternative coping strategies and reduces need for meds
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Secondary Gains (for somatoform disorders)
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• Benefits derived from the symptoms alone. Ex: in the sick role,
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patient is not able to perform normal family, work, and social f
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unctions and receives extra attention from loved ones. If pts de
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rives personal benefit from the symptoms, relinquishing the sy
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mptoms is more difficult.m m m



• Approach to identifying presence of secondary gains is to ask que
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stions such as: m m



o What abilities have you lost since the development of your
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symptom(s) ? m



o How has this problem affected your life? Are there things y
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ou can no longer do?
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o Depending upon the individual patient and your rapport
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, the nurse might gently approach whether there is anyt
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hing positive obtained because of the disorder.
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Hypochondria’s (Illness anxiety disorder) Prominent health anxiety
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• Preoccupied with having or eventually developing a serious illness
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• May or may not present with somatic symptoms, and if so-
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m usually mild. m



o Unintentional and not under conscious control m m m m m



o Significant distress or dysfunction m m m



• Preoccupied with belief of having a devastating sickness or diseas
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e

,NURS 2488 MENTAL HEALTH EXAM 3!!! BEST EXAM STU
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DY GUIDE DOWNLOAD Score A+/RATED A+.
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• Inability to function in personal, social, and occupational roles are
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often impaired m




Conversion disorder- m



m (also called Functional Neurobiological Symptom Disorder)
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• Presents with one or more symptoms of impaired motor or sen
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sory functionm



• Incompatible or exaggeration of recognized neurological c
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onditions, not explained by another mental or medical diso
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rder
• Causes significant distress to the patient and impaired social or
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m occupational functioning m



• Symptoms: (episodes are typically brief but may become chron
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ic)
o weakness or paralysis m m



o abnormal movement m



o swallowing or speech difficulties m m m



o seizures or attacks m m



o sensory loss or anesthesia
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o symptoms involving the senses (blindness or loss of smel
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l)
• symptoms are not voluntarily controlled or created.
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• La bella indifference: patients who are highly distressed or show
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m lack of emotional concern.
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• Comorbidities include: childhood abuse, depression, a
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nxiety and personality disorders Nursing intervention:
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• Behavioral therapy m

, NURS 2488 MENTAL HEALTH EXAM 3!!! BEST EXAM STU
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DY GUIDE DOWNLOAD Score A+/RATED A+.
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• Family therapy m



• Hypnosis
• Anxiolytics- used to reduce anxiety m m m m




Dissociative Fugue- m



• patient in a fugue state frequently relocates and assumes a ne
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w identity while not recalling previous identity or places previ
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ously inhabited. The distracters are more consistent with para
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noid schizophrenia, generalized anxiety disorder, or bipolar di
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sorder
• rather lead simple lives not calling attention to themselves,
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m as time progresses the person may remember their forme
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r identity and then become amnesic of the time in the fugu
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e state.
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• USUALLY PRECIPITATED BY A TRAUMATIC EVENT
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• Implementation: Dissociative disorders is treated in the co m m m m m m m



mmunity, but may be admitted to a psychiatric unit when
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suicidal or in need of crisis stabilization
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• Teaching: teaching about illness and instructions in coping skills
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and stress management. Patients keep
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a daily journal to increase awareness of feelings and to identify tr
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iggers
• Treatment: psychotherapy- m



m primary and most effective treatment. Therapy needs to be
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m flexible. Techniques include: m m



o Psychoeducation
o Processing memories and trauma through talking
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