Chapter 12 - Unit 3

Question 1

Somatic Symptom Disorders - def

Answer 1

group of disorders characterized by the presence of physical symptoms and signs accompanied by abnormal thoughts, feelings, and behaviors.

Question 2

People with a somatic disorder - what do they want? Do they know they’re doing it?

Answer 2

They want tests, a big ordeal, etc - they won’t stop until they “find” the cure.

Also, it’s subconscious - they don’t really know they’re being this way.

Question 3

Factitious Disorder - def

Answer 3

deliberate fabrication of symptoms or self-injury without obvious signs. They want to assume the sick role, etc.

Question 4

Munchausen Syndrome - def

Answer 4

Worst form of a factitious disorder. They harm themselves so bad that they will probably need hospitalization.

Question 5

Munchausen Syndrome imposed on another - def

Answer 5

Caregiver injuring whomever they are caring for in order to get attention.

Question 6

Malingering - def

Answer 6

a conscious process of intentionally producing symptoms for an obvious benefit - like claiming you have non-existent back-pain to get disability.

Question 7

Somatic Symptom Disorder - how do they describe things?

Answer 7

They are VERY exaggerated.

Question 8

Illness Anxiety Disorder - what do their concerns involve?

Answer 8

Nothing specific - it reflects their belief that they have an underlying and undetected medical diagnosis.

Question 9

Conversion disorder - def

Answer 9

essentially, these are functional neurological disorders. They affect voluntary motor or sensory functions and suggest a medical condition. However, it doesn’t!

Question 10

La Belle Indifférence - what does it mean?

Answer 10

People with a conversion disorder just don’t seem to give a fuck! They are like “ehhh, I’m not worried that I can’t move my foot!”

Question 11

What is Body Dysmorphic Disorder?

Answer 11

It’s a highly distressing and impairing disorder where people, who appear normal, think they are super ugly and have something physically wrong with them (on the outside).Even if they have cosmetic surgery, it doesn’t fix it.

Question 12

What is pseudocyesis?

Answer 12

It’s the false belief that one is pregnant, while at the same time the woman’s body may mimic the signs and symptoms of pregnancy.

Question 13

When assessing someone with a somatic symptom disorder, should we be specific?

Answer 13

YES, very - we need to get as many details about the problem as we can.

Question 14

with a somatic symptom disorder, we need to assess if the patient can meet their own needs. T/F?

Answer 14

True!

Question 15

Can someone with a somatic symptom disorder move their affected area?

Answer 15

Besides someone with a factitious disorder, they can’t move it.

Question 16

Secondary gains - def

Answer 16

benefits derived from the symptoms of these conditions.

Question 17

How do these patients interpret stimuli and reality?

Answer 17

It’s skewed - when we might just have a headache, they view it as a big ass brain tumor!

Question 18

Do patients with a somatoform disorder have trouble communicating their needs?

Answer 18

YES, they have a very difficult time doing so.

Question 19

Do these patients become dependent on medications?

Answer 19

Sometimes, yes!

Question 20

What are some outcomes for someone with a somatoform disorder?

Answer 20

Articulate feelings, resume performance in work, life, etc., realistic appraisal of strengths/weakness, etc.

Question 21

Should we first establish a helping role with a patient?

Answer 21

YES

Question 22

When somatization is present, the patient’s ability to perform self-care activities may be impaired and nursing or caregiving intervention is necessary. T/F?

Answer 22

True!

Question 23

Dissociative Disorders - def

Answer 23

disturbances in the normally well-integrated continuum of consciousness, memory, identify, and perception.

Question 24

Dissociative disorders are characterized by altered mind-body connections and possibly brain alterations related to traumatic stress or anxiety. T/F?

Answer 24

True!

Question 25

Depersonalization - def

Answer 25

persistent or recurrent alteration in the perception of self while reality testing remains intact. It’s like they are seeing themselves from a distance.

Question 26

Derealization - def

Answer 26

persistent or recurrent experience of unreality of surrounding while reality testing remains intact. It’s dreamlike!

Question 27

Dissociative Amnesia - def

Answer 27

psychologically induced memory loss.

Question 28

Fugue - what is it?

Answer 28

It’s dissociative amnesia where there’s travel involved!

Question 29

What is DID?

Answer 29

Dissociative Identity Disorder - it’s also known as multiple personality disorder.

Question 30

With DID, are there two or more UNIQUE personalities?

Answer 30

YUP. They are very unique - they even think differently and have different memories

Question 31

What might signal a change of personality in someone with DID?

Answer 31

It’s not just them name - dress, behaviors, etc. can signal this.