MH - Ch. 13 - 14

An interview with a client revels that the client has gained significant attention from family members as a result of the client's somatic symptoms. The nurse identifies this as which concept?

Secondary gain

a 9 year old child experiencing hearing loss has been diagnosed with a conversion disorder. Which question would be appropriate for the nurse to ask when attempting to determine the root cause of the child's symptoms?

"Do you think your mother and father yell too much?"

formerly called hypochondriasis

illness anxiety disorder

After a tornado flattens the home, a 65 year old female is brought to the local clinic by her son. He tells the nurse that his mother cannot remember anything that has happened since the storm hit. During the assessment interview, the client cannot remember personal facts like where she was when the storm hit. The nurse would interpret this as which type of amnesia?

localized

Which of the following would be true of the primary or host personality in the person with dissociative identity disorder?

passive, dependent, self-blaming personality

A nurse is reading a journal article about amnesia. The nurse demonstrates understanding of the information by identifying which type of amnesia as being characterized by the lack of relevant details regarding a specific traumatic event?

selective

characterized by one or more somatic symptoms unexplained by medical findings

somatic symptom disorder

When assisting with developing the plan of care for a client diagnosed with a dissociative disorder, which treatment would the nurse expect to include? select all that apply

b. antidepressant c. hypnosis d. creative art e. cognitive

A 42 year old male is brought to the emergency department by his brother. The brother tells the nurse that the client has traveled across the country to attend funerals of their parents who died in a car accident a week ago. The brother tells the nurse that the client claims to be someone he is not but otherwise seems quite normal. The nurse would suspect which condition?

Dissociative fugue

The history of a client reveals episodes with evidence of several distant personalities and each personality assumes control of the client's behavior. The nurse interprets this information as suggesting which condition?

Dissociative identity disorder

When assessing a client with somatic symptoms disorder, which should be the focus of questions to assess the client for secondary gains?

Previous work or activities the client is no longer able to perform

A client reports chronic pain that health care professionals believe to be somatic in nature. What is the nurse's primary safety concern regarding the client's self-management of this pain?

The client will develop a dependency on pain meds

Which statement made by a client diagnosed with a somatic symptom disorder demonstrates an understanding of the disorder that will be most effective in preventing aa relapse of the symptoms?

"I understand that I must manage my stress daily."

An adolescent has been diagnosed with conversion disorder that involves the loss of vision. The client's mother asks the nurse about the prognosis for this disorder. Which response by the nurse would be best?

"The loss of vision is more difficult to treat than cases where a seizure is the symptom."

A nurse is gathering data from a client who is suspected of having an illness anxiety disorder. Which findings would support this suspicion? Select all that apply

a. concerns continue despite medical testing and reassurance that a disease does not exist b. disproportionate level of anxiety and worry even if symptoms are minor d. visits to numerous health care providers for the same problem. e. statements reflecting obsession that an illness exists

A 37 year old female client presents at the mental health clinic reporting a reoccurring feeling of "not being real." The client's history includes the loss of her husband and 2 children in an automobile accident 3 months ago. The nurse interprets these findings as suggesting which condition?

Depersonalization disorder

The nurse understands that the primary purpose of diagnostic testing for a client diagnosed with any dissociative disorder is to:

Determine if there are any coexisting mental health conditions

After being involved in a train accident, a 19 year old male is admitted to a local hospital unable ti remember any personal information covering the scope of his life. The nurse would suspect which condition?

Dissociative amnesia

symptoms are considered pseudoneurological

conversion disorder

When evaluating the nursing interventions used with a client exhibiting psychophysiologc behaviors, which should be the nurse's initial focus regarding the client's abilities?

Recognize the underlying physiological stress and anxiety

During a routine clinic visit, a client tells the nurse she suddenly experienced an inability to use her left arm. She is unable to initiate movement on command. Which of the following observations would alert the nurse to possible conversion disorder?

Rotates left wrist for assessment of radial pulse

A client is diagnosed with dissociative disorder. The nurse would anticipate reinforcing which classifications of medication when addressing the client's education needs? select all that apply.

a. antianxiety c. antidepressant

A client is suspected of having factitious disorder. When reviewing the client's history and physical assessment, which findings would support this suspicion? select all that apply.

a. client that uses medical terminology to describe the condition c. client's lab reports are inconsistent with reported symptoms e. client's history is inconsistent with objective findings

The spouse of a female client diagnosed with a somatic symptom disorder shares that, "I don't really believe that the pain is so great that she can't go to work; the kids and I need to tell her to go back to work." The nurse should educate the spouse concerning the likely possibility of the client to threaten which to which situation?

Kill herself

A client is diagnosed with a conversion disorder related to the loss of feeling in the client's right hand. Which term would the nurse use to describe the client's lack of concern over the symptom?

La belle indifference

A client suddenly becomes unable yo recognize who the client is and cannot recognize family members. The client is most likely experiencing which condition?

Dissociative disorder

A client is diagnosed with dissociative fugue. Which signs and symptoms would the nurse most likely expect to find? select all that apply.

a. inability to recall relevant personal information e. assumption of a new identity

Which finding would the nurse use to evaluate the client's progress toward understanding the relationship between the dissociative state and the increased presence of anxiety?

ability to recall past traumatic events

Seeing the external environment as unreal or changing is _____________.

derealization

characterized by deliberate falsification of symptoms

factitious disorder