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Rasmussen Mental Health Exam 3|66 Questions with complete solutions
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Rasmussen Mental Health Exam 3|66Questions with complete solutions
Somatoform Disorders - -Mental disorder that involves physical symptoms
with no physical explanation. Preoccupied with their perceived health,
unnecessary tests, do not comply with MD recommendations, undergo
unnecessary surgeries and invasive treatments.
-Somatoform Disorders Nursing interventions - --Offer explanations and
support- Reduces anxiety(Don't reinforce illness)
-Avoid further reinforcement- direct focus away
-Observe and record frequency and intensity of somatic symptoms-
establishes a baseline
-DO NOT imply symptoms are not real (real to pts)
-Assess secondary gains
-Use straightforward approach- avoid power struggle
-Reinforce pts strengths and problem-solving abilities-contributes to positive
self-esteem
-Stress reduction-provides alternative coping strategies and reduces need for
meds
-Secondary Gains - -benefits derived from the symptoms alone
Example: the patient is not able to perform the usual family, work, and social
functions, and receives extra attention from loved ones. If the patient
receives the extra attention getting rid of the symptom is even tougher
-Somatic Pain - -anxiety, play sick, pain in the head, chest, back, joints,
pelvis, dysphagia, nausea, bloating, constipation, palpitations, dizziness, and
SOB. SUICIDE CAN BE A SERIOUS RISK FOR THESE PTS
-Hypochondriasis - -People with hypochondriasis experience severe
distress, and their ability to function in personal, social, and occupational
roles often impaired. Most pts with this disorder present with FAKE
symptoms and preoccupation with the belief of having a sickness or disease.
Excessive preoccupation with having a serious illness
-Conversion Disorder - -Physical symptoms after a traumatic event- can go
away
-Conversion Disorder Signs and Symptoms - -Deficits that affect voluntary
motor or sensory functions that suggest a medical condition when no
medical condition exist. Common symptoms are involuntary movement,
seizures, paralysis, abnormal gait, blindness, and deafness
, -Conversion Disorder Nursing Interventions - -Behavioral therapy, family
therapy, hypnosis, anxiolytics
-Dissociative Fugue - -The pt in a fugue state frequently relocated and
assumes a new identity while not recalling previous identity or placed
previously inhabited. The distracters are more consistent with paranoid
schizophrenia, generalized anxiety disorder, or bipolar disorder. Rather lead
simple lives not calling attention to themselves, as time progresses the
person may remember their former identity and then become amnesic of the
time in the fugue state. Usually precipitated by a traumatic event.
-Body Dysmorphic Disorder - -Think Safety, body image, see body is evil,
high risk of harm. Patients with body dysmorphic disorder feel great shame,
hide or withdraw from others, reported higher rates of suicidal ideation,
suicide attempts and completed suicides than individuals who do not meet
criteria for BDD. (Ineffective coping)
-Personality Disorders - -Setting firm limits and maintaining consistency are
essential elements in working with people with personality disorders.
Flexibility and providing too many choices does not help the individual with
boundaries and limits. Offering relationship advice is not professional
behavior and can have a negative effect on the nurse-client relationship.
Encouraging the patient to attend daily activities may be a part of the care
plan, but is not as high of a priority as SETTING LIMITS!
-Mal Adaptive - -Compromise; think on problems; socially isolated due to
this type of coping skill
-Borderline Personality Disorder - -A self-defeating cycle of behavior is a
hallmark of borderline personality disorder, creating difficulties is work,
social and family relationships. Individuals with a borderline personality are
inflexible and do not compromise easily. Socially inappropriate behavior is
common in borderline personality, as is an unwillingness to change and learn
new coping skills.
-Borderline Personality Disorder Nursing Interventions - -Aimed at
protection of the client from self-mutilation. The nurse also seeks to assist
the client to advance in the development of personality byconfronting his/her
true source of internalizing anger; set limits, be consistant and assess your
reactions toward pt, identify the needs and feelings preceding impulsive
acts. Teach or refer pt to appropriate place to learn needed coping skill,
Dialectical Behavior Therapy which was created for therapy for persons with
BPD
-Dependent Personality Disorder - -Inability to complete anything on their
own. Unable to make decisions without excessive advice and reassurance.
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