Dissociative, Somatic, And Sleep-wake Disorders

Question 1

Disturbance of, or alteration in, the usually integrated functions kd consciousness, memory, identity and perception

Answer 1

Dissociative disorders

Question 2

Causative theories on dissociative disorder

Answer 2

Biological factors
Genetic factors
Psychosocial factors
Psychodynamic theory
Psychological trauma

Question 3

Dissociative disorder: impaired ability to integrate memory

Answer 3

Dissociative amnesia

Question 4

Dissociate disorder: inability to maintain one’s identity

Answer 4

Dissociative fugue or dissociative identity disorder

Question 5

Dissociative disorder: persistent or recurrent disruption in perception… Detachment from the mind or body

Answer 5

Depersonalization

Question 6

Dissociative disorder: unreality of surroundings

Answer 6

Derealization

Question 7

Signs and symptoms of depersonalization

Answer 7

Dreamy
A sense of unreality
Slow movement of time
Sees self from a distance or detachment

Question 8

Signs and symptoms of derealization

Answer 8

Unreal
Dreamlike
Distance or distorted experience in familiar surroundings

Question 9

Dissociative amnesia: specific events during a specific period of time

Answer 9

Local

Question 10

Dissociative amnesia: who they are, autobiographical data and general knowledge of the world

Answer 10

Generalized

Question 11

dissociative identity disorder: insistence that alternate personalities inhabit separate bodies and are unaffected by the actions of one another

Answer 11

Cognitive distortion

Question 12

dissociative identity disorder: unaware of the subpersonalities and is perplexed by lost time and unexplained events

Answer 12

Primary personality

Question 13

dissociative identity disorder: often aware of the existence of each other to some degree

Answer 13

Subpersonalities

Question 14

dissociative identity disorder: times of stress and may range from a dramatic to a barely noticeable event

Answer 14

Transition

Question 15

dissociative identity disorder: lasting from minutes to months… Shorter periods are more common

Answer 15

Shift

Question 16

Physical signs and symptoms with abnormal thoughts, feelings, and behaviors
Absence of physical findings or medical illness

Answer 16

Somatic disorders

Question 17

Causative theories of somatic disorders

Answer 17

Genetic and familial factors
Learning and sociological factors
Psychological theory
Interpersonal model

Question 18

Somatic disorder: deliberate fabrication of symptoms or slef-injury without obvious gains

Answer 18

Factitious disorder

Question 19

Factitious disorder: deliberate fabrication of symptoms or injury is imposed upon another person often a child or another victim

Answer 19

Factitious disorder imposed on another

Question 20

Factitious disorder: disorder by deception … Most severe and chronic form… “doctor shopping” in attempts to seek surgery and invasive diagnostic tests

Answer 20

Munchausen syndrome

Question 21

Factitious disorder: manifested by a caregiver (usually a mother with a health care background)… Injuring a child to receive attention or sympathy

Answer 21

Munchausen syndrom by proxy

Question 22

Factitious disorder: patient feigns sickness or disease through web forums

Answer 22

Munchausen by internet syndrome

Question 23

Involves a conscious process of intentionally producing symptoms for an obvious benefit

Answer 23

Malingering

Question 24

Symptoms of malingering

Answer 24

Highly subjective and difficult to prove or disprove

Question 25

Symptoms of somatic disorder

Answer 25

Vague, dramatized, or exaggerated presentation | Excessive amount of time is spent on worrying a d concern about symptoms

Question 26

Hypochondriasis Unrealistic or inaccurate interpretation of physical symptoms or sensations, leading to preoccupation and fear of having a serious disease

Answer 26

Illness anxiety disorder

Question 27

symptoms or deficits that affect voluntary motor or sensory functions and that suggest a medical condition

Answer 27

Conversion disorder

Question 28

False belief that one is pregnant, while at the same time the woman's body may mimic the signs and symptoms of pregnancy

Answer 28

Pseudocyesis

Question 29

Sleep wake disorder: characterized by difficulty in initiating or maintaining sleep or by excessive sleepiness

Answer 29

Dyssomnias

Question 30

Sleep wake disorder: occur during sleep but do not usually produce insomnia or excessive sleepiness

Answer 30

Parasomnias

Question 31

Persistent difficulty in initiating or maintaining sleep

Answer 31

Insomnia

Question 32

Insomnia: lifelong history of inability to obtain adequate sleep

Answer 32

Idiopathic insomnia

Question 33

Insomnia: learned sleep-preventing associations and heightened physiologic response to stress

Answer 33

Psychophysiologic insomnia

Question 34

Excessive daytime sleepiness

Answer 34

Narcolepsy

Question 35

Narcolepsy: sudden loss of muscle tone at times of unexpected emotion

Answer 35

Cataplexy

Question 36

Narcolepsy: hallucinatory experiences that occur at sleep onset or awakening

Answer 36

Hypnagogic hallucinations

Question 37

Is characterized by cessation of breathing for 10 seconds or longer occuring at least 5 times per hour

Answer 37

Sleep apnea

Question 38

Respiratory efforts of the diaphragm and intercostal muscles are apparent but ineffective against a collapsed or obstructed upper airway

Answer 38

Obstructive sleep apnea syndrome

Question 39

Periodic episodes of repetitive, stereotypic leg movements that occur during sleep, causing partial arousals

Answer 39

Periodic limb movement disorder

Question 40

Involves anything "crawling", itching or tingling sensations of the leg while at rest and causes an almost irrwsistible urge to move

Answer 40

Restless leg syndrome

Question 41

Persistent recurrent sleep disruption due to changes in ciecadian rhythm

Answer 41

Circadian rhythm sleep disorder

Question 42

Circadian rhythm sleep disorder: non synchronous to the 24 hr environment

Answer 42

Time zone change syndrome

Question 43

Circadian rhythm sleep disorder: insomnia during the major sleep period... Excessive sleepiness, inadvertent sleep during major wakefulness period due tk shift work schedule

Answer 43

Shift work sleep disorder

Question 44

Arousal disorder: includes semi purposeful behavior. However the behavior may be lacking in coordination and appropriateness such as avoiding the closet

Answer 44

Sleepwalking or somnambulism

Question 45

Arousal disorder: sudden arousals from slow wave sleep accompanied by screaming, tachycardia, diaphoresis, and othe manifestations

Answer 45

Sleep terrors

Question 46

Sudden jerking movement of the legs that often occurs as a person is falling asleep

Answer 46

Sleep starts

Question 47

May occur during times of stress

Answer 47

Sleep talking

Question 48

Frightening dreams that arise in REM sleep and are often vividly recalled on awakening

Answer 48

Nightmares

Question 49

May be an extension of the normal state of low muscle tone during REM sleep

Answer 49

Sleep paralysis

Question 50

Grinding of the teeth during sleep

Answer 50

Sleep bruxism

Question 51

Bed wetting

Answer 51

Sleep enuresis

Question 52

Rhytmic in nature without episodes of apnea or hypoventilation

Answer 52

Primary snoring

Question 53

Nursing jnterventions in somatic disorders

Answer 53

``` Offer meals at regular time Active meaningful activities during daytime Monitor frequency and duration of naps Individualized bedtime rituals Provide uninterrupted sleep ```