Exam 3 - Somatic Flashcards Preview

N3526 Psychiatric and Mental Health Care > Exam 3 - Somatic > Flashcards

Flashcards in Exam 3 - Somatic Deck (13):
1

What is somatic symptom disorder?

  • One or more somatic symptoms that are distressing or result in significant disruption of daily life
  • Excessive thoughts, feelings, or behaviors related to these symptoms as manifested by at least one of the following:
    • Disproportionate and persistent thoughts about the seriousness of one’s symptoms
    • Persistently high level of anxiety about the symptoms
    • Excessive time and energy devoted to the symptoms
  • Symptoms present at least  6 months

2

What is conversion disorder?

  • Loss or change in body function as a result of a psychological conflict
  • Physical symptoms are not explained by a medical condition
  • Affect voluntary motor or sensory functioning suggestive of pseudo-neurological disorders
    • Paralysis
    • Aphonia
    • Difficulty swallowing
    • Blindness
    • Deafness
    • Seizures

3

What are some characteristics of conversion disorder?

  • Frequent visits to the physician in an effort to obtain relief
  • Excessive use of analgesics
  • Requests for surgery
  • Depression is common and often severe
  • Dependence on addictive substances not uncommon

4

What is primary gain in relation to conversion disorder?

5

What is secondary gain?

6

What is pseudocyesis?

When women believe they are pregnant, but they are not.  They may look pregnant, gain weight, labor symptoms

7

What is illness anxiety disorder?

  • Preoccupation with having or acquiring a serious illnes
  • Somatic symptoms are not present, or if present, are only mild in intensity. If another medical condition is present or there is a high risk for developing a medical condition, the preoccupation is clearly excessive

8

What are some characteristics of illness anxiety disorder?

  • High level of anxiety about health.
  • Individual performs excessive health-related behaviors (e.g. repeatedly check body for signs of illness) or exhibits maladaptive avoidance (e.g. avoids doctor’s appointments).
  • Illness preoccupation present at least 6 months

9

What are the goals for patients with somatic symptom disorders?

  • Interprets body sensations rationally
  • Verbalizes significance of the irrational fear
  • Has decreased number and frequency of physical complaints
  • Makes life changes for improvement and accepts situations that cannot be changed

10

What are some nursing interventions for patients with somatic symptom disorders?

  • Monitor ongoing assessments and laboratory reports
  • Assess need for dependency
  • Identify times when symptoms are worse
  • Convey empathy
  • Help patient identify techniques that will be most helpful when fear and anxiety are exacerbated.
  • Encourage patient to discuss feelings associated with fear of serious illness

11

What are some treatment options for somatic symptom disorders?

  • Cognitive behavioral therapy, supportive therapy, group therapy, stress reduction, relaxation training, psychodynamic therapy
  • Be supportive and available to talk with patient, provide physical care
  • May include medication, biofeedback (they see their physiological values to try to control the symptoms), massage, physical therapy

12

What are the 2 types of factitious disorders?

Factitious Disorder Imposed on Self:

  • Falsification of physical or psychological signs or symptoms: individual presents himself or herself to others as ill, impaired, or injured

Factitious Disorder Imposed on Another:

  • Falsification of physical or psychological signs or symptoms: individual presents another individual (victim) to others as ill, impaired, or injured

13

What are some treatment options for factitious disorders?

  • Reduce misuse of overuse of medical resources
  • In factitious disorder by proxy, ensure safety or real or potential victims
  • Cognitive behavioral therapy
  • Family therapy
  • Medications to treat symptoms (depression, anxiety)