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Somatoform and Related DisordersPsychiatric Nursing: Contemporary Practice

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How do pain disorders typically manifest in women?
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Headaches and/or musculoskeletal pain that is severe enough to seek medical help and interferes with social or occupational functioning.
__________ is a somatoform disorder characterized by a preoccupation of fears about developing a serious illness based on misinterpretation of body sensations.
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Hypochondriasis
What class of medications have been successful in treating hypochondriasis?
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SSRIs (recommendation is to couple drugs with CBT)
________ is a somatoform disorder characterized by a focus on real or imagined defects in appearance which causes significant distress and interferes with social functioning.
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Body Dysmorphic disorder
How should a nurse approach a patient with body dysmorphic disorder?
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Avoid challenging the patient's perceptions and beliefs while establishing a therapeutic relationship, assess the extent of the preoccupation
What class of medications have been successful in treating body dysmorphic disorder?
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SSRIs
________ is the term for an individual who intentionally produces illness symptoms to achieve a self-serving goal like being classified as disabled to avoid work.
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Malingering
What are the three subtypes of factitious disorders according to the DSM-IV-TR?
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Those with: predominantly psychological symptoms, predominantly physical symptoms (Munchausen's) or a combination of psychological and physical symptoms with neither predominating.
What are the most commonly reported induced conditions associated with factitious disorders?
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Fever, ketoacidosis, purpura and infections
__________ is a core symptom of factitious disorder and is defined as fascinating, yet false, stories of personal triumph.
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Pseudologia
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What are the common psychological symptoms manifested by patients with factitious disorders?
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Hallucinations, delusions, memory loss, amnesia, pseudoblindness or pseudoparalysis.
What is the typical age of onset of factitious disorder?
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Early 20's (range is 19-64), predominantly in women
What is thought to be the root cause of the development of factitious disorder?
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Being abused as a child and only receiving nurturing during times of illness results in an attempt to recreate illness/injury to receive love and attention.
What behavior is typically demonstrated by a patient who has a factitious disorder when they are discovered?
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Aggression
What are the overall goals in treating factitious disorder?
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Replacing dysfunctional, attention-seeking behaviors with positive ones.
What is required to begin treatment for a patient with factitious disorder?
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They must acknowledge their deception
What is a crucial component to treating a patient with factitious disorder?
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Offering face saving ways to give up the disorder. The goal is recovery, not confession.
What is the primary disorder of the diagnosis, factitious disorder, not otherwise specified?
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Munchausen's by proxy
  
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