The doctor doesn't believe me !
This is characterized by physical symptoms suggesting medical disease but without demonstrable organic pathology or a known pathophysiological mechanism to account for them.
Somatic Symptom disorder
This includes an earlier age at onset and below-normal body weight, the client fails to recognize the eating behavior as a problem.
Anorexia
This is the persistent difficulty discarding possessions regardless of their value.
Hoarding
This is exposure to traumatic events causes anxiety, detachment and other manifestations about the event for longer than 1 month following the event.
Post-traumatic Stress Disorder (PTSD)
A client with anorexia weighs less than 85% of the client's normal body weight. The client says, "I'm so fat, I can't even get through this doorway, much less fit into any of my clothes." Which is the nurse's most therapeutic response?
A. Let's talk about your ideas about your body and why you perceive yourself to be fat."
B. "You must try and stop thinking that way. Let's think of some alternative ideas for describing your body."
C. "I understand what you are saying. However, you are under your ideal body weight, and it is causing you to have the medical problems that we have talked about."
D. "You only weigh 100 pounds. It is just not true that you are fat."
C. "I understand what you are saying. However, you are under your ideal body weight, and it is causing you to have the medical problems that we have talked about."
This is a loss of or change in body function such as blindness or difficulty swallowing, that cannot be explained by any known medical disorder or pathophysiological mechanism.
*** Double Bonus Points**
Can tell me the other name for this disorder ?
1.) conversion disorder otherwise known as functional neurological symptom disorder
This consists of recurrent episodes of eating significantly more than most people would in a similar period of time under similar circumstances.
Binge Eating Disorder
This is recurrent thoughts, impulses, or images experienced as intrusive and stressful, and unable to be expunged by logic or reasoning.
Obsessions
This is an extremely distressing experience that causes severe emotional shock and may have long-lasting psychological effects
trauma
A client is admitted to a mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which would a nurse most likely find?
A. Intentional self-injurious behavior
B. Pain to achieve a self-serving goal
C. Malingering to avoid work
D. Parents who were restrictive
A. Intentional self-injurious behavior
This disorder is intentional production of false or grossly exaggerated symptoms; external incentives as motivation such as avoiding work, obtaining financial compensation or obtaining drugs.
Malingering
This has a later age at onset and near-normal body weight. They are usually ashamed and embarrassed by the eating behavior.
Bulmia
This is characterized by the exaggerated belief that the body is deformed or defective in some specific way.
Body Dysmorphic Disorder (BDD)
This is exposure to traumatic events causes anxiety, detachment and other manifestations about the event for at least 3 days but not more than 1 month following the event.
Acute Stress Disorder (ASD)
A client has learned about defense mechanisms. Which behavior of the client would demonstrate the effective use of sublimination defense mechanism?
A. The client views one friend as being perfect and views another friend as evil.
B. When the client is angry about their boss, they go to a boxing class.
C. The client reaffirms what they want to with social activities.
D. The client notices their feelings and informs their friend of their feelings.
B. When the client is angry about their boss, they go to a boxing class.
Sublimation: Rechanneling of drives and impulses that are personally or socially unacceptable into activities that are constructive
This is formerly known as hypochondriasis. The client is extremely conscious of bodily sensations and changes, and may become convinced that a rapid heart rate indicates they have heart disease or that a small sore is skin cancer. The client has what disorder ?
Illness anxiety disorder
This is an obsession with proper or healthful eating. Behaviors include compulsive checking of ingredients; cutting out increasing number of food groups
Orthorexia Nervosa
What are the two reward-seeking behavior disorders?
•Kleptomania (compulsive stealing)
•Oniomania (compulsive buying)
This is a sudden, unexpected travel away from home with the inability to recall some or all of one’s past.
Dissociative fugue
The nurse develops a teaching plan for a client who is newly diagnosed with posttraumatic stress disorder (PTSD). Which topic should the nurse include in the client’s teaching plan? Select all that apply
A. a safety plan for stressful periods
B. a list of the client’s individual triggers
C. identification of cues that lead to reexperiencing the trauma
D. the importance of a nutritional diet, exercise, and sleep hygiene to optimal functioning
E. a list of community services, including self-help groups, that are available to the client
A. a safety plan for stressful periods
B. a list of the client’s individual triggers
C. identification of cues that lead to reexperiencing the trauma
D. the importance of a nutritional diet, exercise, and sleep hygiene to optimal functioning
E. a list of community services, including self-help groups, that are available to the client
This tool is used to assess the severity of somatic symptoms ?
Patient Health Questionnaire 15
What us the normal range for a clients body mass index?
20 to 24.9
Name all three self-soothing behavior disorders?
•Excoriation (skin-picking)
•Onychophagia (chronic nail-biting)
•Trichotillomania (hair-pulling)
1. Re-experiencing the traumatic event
2. A sustained high level of anxiety or arousal
3. A general numbing of responsiveness
4. Intrusive recollections or nightmares
5. Amnesia to certain aspects of the trauma
6. Depression, survivor’s guilt
7. Substance abuse
8. Anger and aggression
9. Relationship problems
A client performs ritualistic washing of the hands and dishes, along with rearranging the table before settling down to a meal. What intervention does the nurse implement to help this client complete this daily routine? Select all that apply.
A. Include the time taken for the ritual in the day’s timetable.
B. Come to an agreement with the client on a time to stop the ritual.
C. Ask the client to read the newspaper instead of performing the ritual.
D. Interrupt the client after three rounds of washing.
E. Encourage a gradual decrease in the time allotted for the ritual.
A. Include the time taken for the ritual in the day’s timetable.
B. Come to an agreement with the client on a time to stop the ritual.
E. Encourage a gradual decrease in the time allotted for the ritual.