RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
Chapter 12
❖ Antisocial Personality- describe
o Persistent disregard for and violation of the rights of
others with an absence of remorse for hurting others.
People with antisocial PD have a sense of entitlement
and are very callous.
o People who have antisocial personality disorders lack
regard for the law and the rights of others and have a
history of persistent lying, use of aliases, conning
others for personal profit or pleasure, and stealing
(deceitfulness). However, they do rely on others to
conform to the social norms.
o Promiscuity, failure to honor work or financial
commitments, and drunk driving are common events in
their lives.
o Patients impulsively act out feeling of anger and
feels no guilt or remorse.
o Nursing diagnosis: risk for other- directed
violence.
❖ Somatoform Disorders- highest priority nursing interventions
(table 12- 3 & 12-4) & secondary gains
o Attempt to help the patient improve overall
functioning through the development of effective
coping and communication strategies. Through the use
RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
,RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
of identification and expression of emotions or issues,
patients no longer rely only on medical symptoms to
unconsciously display their needs.
o Highest priority: Shift focus from somatic
symptoms to feelings.
o Secondary gains: benefits derived from the symptoms
alone.
▪ Ex: In the sick role, the patient is not able to
perform normal family, work, and social
functions and receives extra attention from
loved ones. If a patient derives personal
benefit from the symptoms, relinquishing the
symptoms is more difficult.
❖ Hypochondriasis (Illness Anxiety Disorder)- signs/symptoms
o Patients with this disorder may or may not present
with somatic symptoms, and if they do, the
symptoms are usually mild.
o Alarmed by the potential implications of any disorder
than with the disorder itself, and are alarmed with
any new bodily sensations. Patients can misinterpret
normal physical sensations such as sweating,
abdominal cramping, or awareness of heartbeat as
indicative of disease. Have fears of having a serious
disease.
RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
,RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
o Exhibit high levels of anxiety and alarm about their
health lasting at least 6 months and may either
excessively check for problems or avoid medical care.
It is important to consider other possible diagnoses such
as anxiety disorders.
❖ Conversion Disorder- define and nursing interventions
o Presents with one or more symptoms of impaired
motor or sensory function.
o Causes significant distress to the patient and
impaired social or occupational functioning.
Symptoms are further specified as including weakness
or paralysis, abnormal movement, swallowing or
speech difficulties, seizures or attacks, sensory loss or
anesthesia, or symptoms involving the senses
(blindness or loss of smell).
o Demonstrate lack of concern regarding the
seriousness of symptoms.
o Nursing interventions
▪ Use a straight forward approach
▪ Be supportive, yet ASSERTIVE with them
▪ Pt independence is important, they need to be
able to take care of themselves.
❖ Dissociative Fugue
RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
, RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
o Often associated with dissociative amnesia, which is
amnesia related to a traumatic accident. Fugue is
when the patient flees from their normal life to
another location and starts a new life.
o Gradually over time, memories of the original life
may be triggered. Patients can become confused and
embarrassed when the amnesia subsides and memory
returns.
❖ Body Dysmorphic Disorder- care plan, highest priority
o Includes preoccupation with an imagined "defective
body part"; obsessional thinking (thinking they are ugly
or deformed) and compulsive behaviors (such as mirror
checking, skin picking, or excessive grooming); and
impairment of normal social activities related to
academic or occupational functioning. Individuals with
BDD are frequently concerned with the face, skin,
genitalia, thighs, hips, and hair.
o Individuals with BDD have higher rates of suicidal
ideation, suicide attempts, and completed suicides
than individuals who did not meet criteria for BDD.
The disorder is often kept secret for many years, and
the patient does not respond to reassurance. The
pharmacological agents of choice for treating people
with BDD are SSRIs, antidepressants, and
RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
Chapter 12
❖ Antisocial Personality- describe
o Persistent disregard for and violation of the rights of
others with an absence of remorse for hurting others.
People with antisocial PD have a sense of entitlement
and are very callous.
o People who have antisocial personality disorders lack
regard for the law and the rights of others and have a
history of persistent lying, use of aliases, conning
others for personal profit or pleasure, and stealing
(deceitfulness). However, they do rely on others to
conform to the social norms.
o Promiscuity, failure to honor work or financial
commitments, and drunk driving are common events in
their lives.
o Patients impulsively act out feeling of anger and
feels no guilt or remorse.
o Nursing diagnosis: risk for other- directed
violence.
❖ Somatoform Disorders- highest priority nursing interventions
(table 12- 3 & 12-4) & secondary gains
o Attempt to help the patient improve overall
functioning through the development of effective
coping and communication strategies. Through the use
RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
,RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
of identification and expression of emotions or issues,
patients no longer rely only on medical symptoms to
unconsciously display their needs.
o Highest priority: Shift focus from somatic
symptoms to feelings.
o Secondary gains: benefits derived from the symptoms
alone.
▪ Ex: In the sick role, the patient is not able to
perform normal family, work, and social
functions and receives extra attention from
loved ones. If a patient derives personal
benefit from the symptoms, relinquishing the
symptoms is more difficult.
❖ Hypochondriasis (Illness Anxiety Disorder)- signs/symptoms
o Patients with this disorder may or may not present
with somatic symptoms, and if they do, the
symptoms are usually mild.
o Alarmed by the potential implications of any disorder
than with the disorder itself, and are alarmed with
any new bodily sensations. Patients can misinterpret
normal physical sensations such as sweating,
abdominal cramping, or awareness of heartbeat as
indicative of disease. Have fears of having a serious
disease.
RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
,RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
o Exhibit high levels of anxiety and alarm about their
health lasting at least 6 months and may either
excessively check for problems or avoid medical care.
It is important to consider other possible diagnoses such
as anxiety disorders.
❖ Conversion Disorder- define and nursing interventions
o Presents with one or more symptoms of impaired
motor or sensory function.
o Causes significant distress to the patient and
impaired social or occupational functioning.
Symptoms are further specified as including weakness
or paralysis, abnormal movement, swallowing or
speech difficulties, seizures or attacks, sensory loss or
anesthesia, or symptoms involving the senses
(blindness or loss of smell).
o Demonstrate lack of concern regarding the
seriousness of symptoms.
o Nursing interventions
▪ Use a straight forward approach
▪ Be supportive, yet ASSERTIVE with them
▪ Pt independence is important, they need to be
able to take care of themselves.
❖ Dissociative Fugue
RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
, RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
o Often associated with dissociative amnesia, which is
amnesia related to a traumatic accident. Fugue is
when the patient flees from their normal life to
another location and starts a new life.
o Gradually over time, memories of the original life
may be triggered. Patients can become confused and
embarrassed when the amnesia subsides and memory
returns.
❖ Body Dysmorphic Disorder- care plan, highest priority
o Includes preoccupation with an imagined "defective
body part"; obsessional thinking (thinking they are ugly
or deformed) and compulsive behaviors (such as mirror
checking, skin picking, or excessive grooming); and
impairment of normal social activities related to
academic or occupational functioning. Individuals with
BDD are frequently concerned with the face, skin,
genitalia, thighs, hips, and hair.
o Individuals with BDD have higher rates of suicidal
ideation, suicide attempts, and completed suicides
than individuals who did not meet criteria for BDD.
The disorder is often kept secret for many years, and
the patient does not respond to reassurance. The
pharmacological agents of choice for treating people
with BDD are SSRIs, antidepressants, and
RASSMUSSEN COLLEGE NURS 2488 CHAPTER 12-28
EXAM 3 QUESTIONS AND ANSWERS RATED A+
ASSURED SUCCESS NEW UPDATE 2022
