Etiology
These 2 types of sensory input are sent directly to the amygdala to start the fear process.
What are tactile/touch and olfactory/smell?
The nurse recognizes these symptoms/signs as consistent with a type of Dissociative Disorder.
After the death of a child, a parent is unable to recall their address, employer, or insurance information to give the ED personnel.
What is Dissociative Amnesia?
At least 3 Characteristics of the individual diagnosed with DID?
What are?
Female, Childhood trauma or repeated trauma, diagnosed later in adolescence/young adulthood, 1% population, more than 2 identities emerge to cope with repressed emotion
A consumer is convinced she has an intestinal malignancy that the physicians cannot locate. She reports debilitating pain and diarrhea.
What is an example of Somatic Illness Anxiety Disorder?
An anti-anxiety medication that is not a benzo and is preferred due to low sedative side effects and dependence.
What is Buspar/Buspirone?
Excess cortisol effects the hippocampus which can lead to fragmented, incomplete m_______.
What is memories?
While rare, it is possible a severe level of trauma or repressed anxiety can lead to this Dissociative state.
What is Dissociative Fugue?
Behavioral manifestations seen with DID.
What are?
Individuals who know claim to know them
Time lost
Absences from family, work
Multiple voices, moods, separate lives
A young athlete has a minor injury to his knee, but is unable to return to the sport and reports he has no feeling in his lower leg below the knee and cannot move the leg. The physicians can find no medical reason for the current symptoms.
What is an example of Somatic Conversion Disorder?
An anxiolytic given on a scheduled, rather than PRN basis.
What is Buspar/Buspirone?
A traumatic event or repeated events may lead to endocrine and neurotransmitter changes in the brain which may provide a physical explanation for what 2 type of disorders?
Somatic and dissociative disorders
For any form of unexplained amnesia suspected to be dissociation, questioning the individual using this method is recommended to avoid increasing the need to break with reality.
What is allowing the individual to recall without aggressively pursuing details or using any type of pressure to remember?
Harmony among alters that persist so the individual can function.
What is usually the goal of psychotherapy?
A plan of care for an individual who has been diagnosed with Somatic Illness Anxiety disorder would include limit setting for certain symptoms or behaviors.
What is the consumer discussing symptoms repeatedly rather than feelings..
Tip for remembering the drug is a member of the anxiolytic class.
What are lams and pams?
Repressed memory theory is controversial in some psychiatric communities. Memories of trauma that resurface prior to involvement in psychotherapy are sometimes held as more reliable. True or False?
True
A type of dissociation all individuals may engage in involuntarily at some time.
What is daydreaming?
Long term psychotherapy and hypnosis for individuals with DID most often focuses on these 2 goals.
What are recall and identification of original traumas and how to function with multiple alters at the highest level?
Consumers who report symptoms despite no medical diagnosis for the sole purpose of external gain such as qualifying for disability or insurance payments.
What is Malingering Disorder?
Nurses sometimes follow standing orders to administer PRN anxiolytics medications. An individual with an acute onset of panic is not responding to calming techniques. The nurse would choose an anxiolytic with arapid onset .
What is diazepam/Valium?
A nurse reads in the history of a an adult in detox that as a young boy, he was sexually assaulted by his stepfather and also burned with cigarettes. When asked about allergies, he reports to the nurse that he is allergic to cigarette smoke because it makes him vomit. How could this be explained using the Anatomy of the Brain.
When he was burned, the olfactory sense was embedded in the hippocampus memory along with the pain and fear. Perhaps the smell evokes memories with intense anxiety which leads to gastric shutdown and vomiting.
The nurse is aware of multiple personalities during her care of an individual. The nurse's goal will be to develop a therapeutic relationship with _______.
What is with each alter.
The sense of being disconnected from time or place when it is happening can be frightening for the individual with this disorder because they are aware when it is happening. The nurse teaches the individual strategies for staying here and in the now, like singing a song.
What is Depersonalization/rerealization disorder?
A derogatory term used to refer to individuals who use the ED repeatedly go from one hospital emergency department or physician to physician.
What are Frequent flyers?
An individual with an undiagnosed alcohol use disorder is prescribed Xanax/alprazolam for symptoms of anxiety, insomnia. This creates the risk of a life threatening side effect due to additive effects of what action on the CNS?.
What is CNS depression?