Mental Health Ch. 21

Front 1

Multiple physical complaints with no organic basis

Back 1

Hysteria

Front 2

It was observed that people with hysteria improved with....

Back 2

Hypnosis

Front 3

The conversion of unexpired emotions into physical symptoms

Back 3

Somatization

Front 4

Disorder where people feign or intentionally produce symptoms for some purpose or gain

Back 4

Fabricated and induced illness

Front 5

Intentional production of false or grossly exaggerated physical or psychological symptoms

Back 5

Malingering

Front 6

Malingering is motivated by ____________ such as avoiding work, evading criminal prosecution, obtaining financial compensation, or obtaining drugs

Back 6

External incentives

Front 7

When a person intentionally produces or feign physical or gives excess intravenous potassium to a client and then "saves his life" by performing cardiopulmonary resuscitation

Back 7

Facticious disorder, imposed on self

Front 8

Psychosocial theorist believe that people with somatic symptom illness keep________,_______,or _______ inside rather than expressing them outwardly.

Back 8

Stress

Anxiety

Frustration

Hint 8

Definition of internalization

Front 9

People with somatic symptoms illnesses have a tremendous time...

Back 9

Dealing with interpersonal conflict

Front 10

The direct external benefits that being sick provides such as relief of anxiety, conflict, or distress

Back 10

Primary gains

Front 11

The internal or personal benefits received from others because one is sick such as attention from family members and comfort measures

Back 11

Secondary gains

Front 12

The worsening of symptoms for somatic symptom illness helps the person to meet psychological needs for...

Back 12

1. Security

2. Attention

3. Affection

Front 13

Somatization is associated most often with...

Back 13

Women

Front 14

Reasons women have more incidences of somatization

Back 14

1. Boys are taught to be stoic so few complaints as adults

2. Women seek medical treatment more often than men and it's socially acceptable

3. Childhood sexual abuse happens more to girls

4. Women more often receive treatment for psychiatric disorders

Hint 14

4

Front 15

When a client is diagnosed with somatic symptom illness, it is important not to dismiss all future complaints because at any time...

Back 15

They may actually require medical attention

Front 16

It is likely someone with somatic symptom illness have seen ________ ________ over the years

Back 16

Multiple HCPs

Front 17

Usually a person with somatic symptom illness have a facial expression of discomfort until the assessment interview where they look much better because...

Back 17

They have the nurse's undivided attention

Front 18

Clients with somatization disorder usually describe their complaints in ___________ terms, but often __________

Back 18

Colorful, exaggerated

Lack specific information

Front 19

The content of a client who somatizes primary thinking is often...

Back 19

Over exaggerated physical concerns

Front 20

Clients who somatize or have hypochondriasis have trouble responding to questions about...

Back 20

Emotional feelings

Front 21

Clients with hypochondriasis focus on ________________ rather than ______________

Back 21

The fear of illness

The existence of illness

Front 22

Clients with ____________ are preoccupied with with bodily functions, ruminate about illness, are fascinated with medical information, and have unrealistic fears about potential infections and prescriptions

Back 22

Hypochondriasis

Front 23

The transference of mental experiences and states into bodily symptoms

Back 23

Somatization

Front 24

The transference of mental experiences and states into bodily symptoms

Back 24

Somatization

Front 25

The three central features of somatic symptom illnesses

Back 25

1. Physical complaints suggest major medical illness but have no demonstrable organic basis

2. Psychological factors and conflicts seem important in initiating, exacerbating, and maintaining the symptoms

3. Symptoms or magnified health concerns are not under the client's conscious control

Front 26

Unexplained, usually sudden deficits in sensory or motor function

Back 26

Conversion disorder

Front 27

Preoccupation of fear that one has a serious disease or will get a serious disease

Back 27

Hypochondriasis

Front 28

Fear that one has a serious disease

Back 28

Disease conviction

Front 29

Fear that one will get a serious disease

Back 29

Disease phobia

Front 30

Outcomes from treatment of somatic symptom illness

Back 30

1. The client will identify the relationship between stress and physical symptoms

2. The client will verbally express emotional feelings

3. The client will follow an established daily routine

4. The client will demonstrate alternative ways to deal with stress, anxiety, and other feelings

Front 31

The challenge for the nurse is to ________ the client's feelings while encouraging her or him to _________

Back 31

Validate

Participate in activities

Front 32

What somatic clients keep in their detailed journal

Back 32

1. Physical symptoms

2. Whether they were alone or with others

3. Whether any disagreements were occurring

Hint 32

3

Front 33

Ot may help for the nurse to explain to the family...

Back 33

Primary and secondary gains

Front 34

Help clients relax and reduce feelings of stress; strategies include progressive relaxation, deep breathing, guided imagery, and distractions

Back 34

Emotion-focused coping strategies

Front 35

Help to resolve or change a client's behavior or situation or manage life stressors; strategies include learning problem solving, applying the process to identified problems, and role playing interactions

Back 35

Problem-focused coping strategies