NSG221 EXAM #3 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS LATEST UPDATE 2024/2025
somatization
expression of psychological stress through physical symptoms
3 features of somatic symptom illness
- physical complaints suggest medical illness but there is no basis for the disease
- psychological factors seem important in initiating, exacerbating, or maintaining symptoms
- symptoms are not under patient's control and are involuntary
somatic symptom disorder
psychological disorder in which the symptoms take a somatic (bodily) form without an obvious physical
cause
(unconscious symptoms, unconscious motivation, no gain)
malingering disorder
intentional fabrication of physical or psychological symptoms motivated by gain such as missing work
(intentional symptoms, intentional motivation, primary gain)
factitious disorder imposed on self (Munchausen syndrome)
intentional production of physical or psychological symptoms motivated by attention from others
(intentional symptoms, unconscious motivation, secondary gain)
, factitious disorder imposed on others (Munchausen syndrome by proxy)
intentional fabrication of disease on a vulnerable dependent motivated by attention from others or
prolonging healthcare for the patient
(the motivation is not money)
conversion disorder
neurological symptoms that cannot be explained by medical disease
- Ex: numbness, blindness, seizures
illness anxiety disorder
- preoccupation with disease or illness
- physical symptoms are NOT present or are only mild
- obsessive thoughts cannot be dismissed even when patient knows fears are unrealistic
What nursing intervention is priority for patients with illness anxiety disorder (hypochondriasis)?
acknowledge client's concerns/frustrations without continuing to focus on the physical symptoms/illness
primary gain of somatic symptom illnesses
direct internal benefits of being sick such as relief of anxiety, conflict, or distress
secondary gain of somatic symptom illnesses
external or personal benefits received from others because of the illness (money, back rub, food)
(bigger better deal)
cultural considerations for somatic symptom illnesses
COMPLETE SOLUTIONS LATEST UPDATE 2024/2025
somatization
expression of psychological stress through physical symptoms
3 features of somatic symptom illness
- physical complaints suggest medical illness but there is no basis for the disease
- psychological factors seem important in initiating, exacerbating, or maintaining symptoms
- symptoms are not under patient's control and are involuntary
somatic symptom disorder
psychological disorder in which the symptoms take a somatic (bodily) form without an obvious physical
cause
(unconscious symptoms, unconscious motivation, no gain)
malingering disorder
intentional fabrication of physical or psychological symptoms motivated by gain such as missing work
(intentional symptoms, intentional motivation, primary gain)
factitious disorder imposed on self (Munchausen syndrome)
intentional production of physical or psychological symptoms motivated by attention from others
(intentional symptoms, unconscious motivation, secondary gain)
, factitious disorder imposed on others (Munchausen syndrome by proxy)
intentional fabrication of disease on a vulnerable dependent motivated by attention from others or
prolonging healthcare for the patient
(the motivation is not money)
conversion disorder
neurological symptoms that cannot be explained by medical disease
- Ex: numbness, blindness, seizures
illness anxiety disorder
- preoccupation with disease or illness
- physical symptoms are NOT present or are only mild
- obsessive thoughts cannot be dismissed even when patient knows fears are unrealistic
What nursing intervention is priority for patients with illness anxiety disorder (hypochondriasis)?
acknowledge client's concerns/frustrations without continuing to focus on the physical symptoms/illness
primary gain of somatic symptom illnesses
direct internal benefits of being sick such as relief of anxiety, conflict, or distress
secondary gain of somatic symptom illnesses
external or personal benefits received from others because of the illness (money, back rub, food)
(bigger better deal)
cultural considerations for somatic symptom illnesses
