Exam 3 - Somatic Flashcards Preview

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

Flashcards in Exam 3 - Somatic Deck (13):

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


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


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


What is primary gain in relation to conversion disorder?


What is secondary gain?


What is pseudocyesis?

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


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


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


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


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


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


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


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)