Basic Concepts Of Psychiatric Mental Health Nursing 8th Edition by Louise Rebraca Shives
Basic Concepts Of Psychiatric Mental Health Nursing 8th Edition by Louise Rebraca Shives
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Chapter 20- Somatoform and Dissociative Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse obtains a psychosocial history from a client who may have psychological factors affecting his medical condition. Which of the following should the nurse recognize as pertinent to this diagnosis? | |
| A) | No physiologic cause has been found for his symptoms. | |
| B) | His symptoms subside with appropriate medical treatment. | |
| C) | He is able to articulate the cause of his psychological distress. | |
| D) | His symptoms are related to conscious motives. | |
| Ans: | A | |
| Feedback: | ||
| One of the important factors regarding the diagnosis of “psychological factors affecting medical condition” is that there is no physiologic basis for these symptoms. They are often based on psychological conditions. These symptoms do not usually subside easily, clients cannot often talk about the cause of their distress, and the symptoms are always related to unconscious processes. | ||
| 2. | A client has been admitted to a hospital with inability to move his right arm. He has a diagnosis of conversion reaction. Which of the following consequences of this condition would be an example of primary gain? | |
| A) | Relief from anxiety | |
| B) | Medical leave from his high-stress job | |
| C) | Attention from his wife and children | |
| D) | Avoidance of jury duty | |
| Ans: | A | |
| Feedback: | ||
| Primary gain is the immediate gain by the client to remove himself or herself from an overwhelming situation. In this case, relief from anxiety would be an example of primary gain. The other three answers reflect secondary gain, or mechanisms to remove the client from stress and provide an opportunity to meet dependency needs. | ||
| 3. | Conversion symptoms serve all except which of the following functions? | |
| A) | Permit the client to express a forbidden wish or impulse in a masked form | |
| B) | Remove the client from an overwhelming life-threatening situation | |
| C) | Impose punishment via the disabling symptom for a forbidden wish or wrongdoing | |
| D) | Provide a way for the client to take care of others while they are ill | |
| Ans: | D | |
| Feedback: | ||
| Conversion symptoms provide a way for the client to be taken care of, not the reverse. | ||
| 4. | The primary factor that differentiates somatization disorders from conversion disorders is what? | |
| A) | Somatization disorders usually affect the cardiac system, whereas conversion disorders do not. | |
| B) | Conversion disorders are always targeted at the respiratory system. | |
| C) | Somatization disorders are conscious, whereas conversion disorders are unconscious. | |
| D) | Somatization disorders affect multiple organ systems, whereas conversion disorders usually involve only one system. | |
| Ans: | D | |
| Feedback: | ||
| Somatization disorders differ from other somatoform disorders because of the multiple complaints voiced and the multiple organ systems affected. Conversion disorder is a somatoform disorder that involves motor or sensory problems suggesting a neurological condition. Anxiety-provoking impulses are converted unconsciously into functional symptoms. | ||
| 5. | The primary reason for considering cultural issues when caring for the client with somatization disorders is what? | |
| A) | Somatization disorders usually only occur in the United States. | |
| B) | Somatization disorders are characterized by middle-class, Caucasian value expressions. | |
| C) | Somatization disorders are only seen in a few cultures. | |
| D) | Somatization disorders differ in type and frequency of symptoms and depend on the culture in which they are expressed. | |
| Ans: | D | |
| Feedback: | ||
| The type and frequency of symptoms in somatization disorders differ depending on the culture in which they are expressed. For example, there is a higher reported frequency of somatization disorder in Greek and Puerto Rican men than in men in the United States. Therefore, the symptom reviews must be adjusted to the culture. | ||
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