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73 Cards in this Set

  • Front
  • Back
an expression of psychological stress thru physical symptoms
somatization
What are common comorbid conditions to somatization disorders
anxiety and depression
What is the course of somatization disorders
chronic and relapsing
A disorder in which is characterized by a history of many physical complaints beginning before 30yrs. old. This history includes pain in at least 4 different site or functions.
somatization disorders
A disorder in which clients misinterpretes innocent physical sensations as evidence of a serious illness.
hypochondriasis
A disorder in which can not be reassured by negative diagnostic test findings and they seek extensive medical care with frustrative results.
hypochondriasis
defense mechanism associated with hypochondriasis
denial and somatization
A disorder in which is characterized by a duration of at least 6 months with preoccupation of fears of having a serious disease.
hypochondriasis
What is the defense mechanism used for pain disorders
displacement
What is the defense mechanism used for conversion disorders
conversion
What is the defense mechanism used for body dysmorphic disorders
symbolism and projection
A disorder in which one is preoccupied with some imaged defect in appearence
body dymorphic disorder
A disorder in which there is a development of one or more symptoms suggesting a neurological disorder, yet it can not be explained by a general medical condition or substance
conversion disorder
What are comorbidities associated with conversion disorder?
major depression
dissociative disorder
personality disorder
What are comorbidities associated with somatization disorder?
major depression
panic disorder
personality disorder
substance dependence
What are comorbidities associated with hypochondriasis disorder?
depressive disorder
anxiety disorder
other somatoform disorders
What are comorbidities associated with pain disorder?
anxiety disorder
depressive disorder
substance dependence
What are comorbidities associated with body dymorphic disorder?
major depression
obsessive-compulsive disorder
social phobias
What are the somatoform disorders?
somatization disorder
hypochondriasis
pain disorder
body dysmorphic disorder
conversion disorder
What is a frequent diagnosis associated with somatoform disorders?
Ineffective coping
Nurses working with clients with with somatization and dissocitive disorders can expect that these client will fit where on the continuum of psychiological diorders
moderate to severe
an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture.
Personality disorder
What are the 4 characteristics of personality disorders
1) inflexible and maladaptive response to stress

2) disability in working and loving

3)ability to evoke interpersonal conflict

4)Capacity to get under the skin of others
Where does personality disorders fall on the continuum
severe to psychosis
What are the types of cluster A personality disorders
paranoid

schiziod

schizotypal
What are the gender predilection associated with personality disorders
With all three types, there are more men than women.
What are the comorbidities associated with paranoid personality disorder
major depressive disorder
obsessive-compulsive disorder
agoraphobia
substance use disorder
What are the comorbidities associated with schizoid personality disorder
major depressive disorder
What are the comorbidities associated with schizotypal personality disorder
major depressive disorder
Which personality disorder have characteristics of a pervasive distrust and suspiciousness of other.
paranoid personality disorder
Which personality disorder have characteristic of emotional detachment and does not seek out or enjoy close relationships.
schizoid personality disorder
Which personality disorder have characteristics in which the individual has an eccentric appearence and shows evidence of magical thinking that are not clear delusions or hallucinations.
schizotypal
What are the cluster B personality disorders
(Dramatic, emotional, erratic)
antisocial
borderline
narcissistic
histronic
Which stage in the cycle of violence is characterized by minor incidents such as verbal abuse, pushing, and shoving; as tesion esculates, both spouses try to reduce it
tension-building stage
Which stage in the cycle of violence is characterized by the perpetrator relaeasing built-up tension by brutal and uncontrollable beatings.
acute battering stage
Which stage in the cycle of violence is characterized by kind and loving behaviors, expressions or remorse and apologies by the perpetrator.
honeymoon stage
What are some basic level nursing interventions for somatoform disorders
1. Offer explanation & support during diagnostic testing.

2. After physical complaint has been investigated, avoid further reinforcement (do not take vitals everytime client complains

3.spend time with client other than times of complaint.

4. Do not imply the symptoms are not real

5. Have client direct all complaints to case manager
disturbances in the normally well intergrated continuum of consciousness, memory, identity, and & perception.
dissociaive disorders
existance of 2 or more distinct subpersonalities and the inability to recall important information too expensive to be explained by ordinary forgetfulness.
dissociative
identity
disorder
cluster A is classified as....
odd or eccentric
cluster B is classified as....
dramatic, emotional, or erratic
cluster C is classified as....
Anxious and fearful
causes of personality disorders
genetic and socio-cultural (environment)
Which personality disorder is characterized by:
-problems w/ relationships
-withdrawn/loners
-dull/flat affect
-indifferent to praise, criticism, or empathy for others
schizoid
What are the most helpful nursing interventions related to schizoid PD
-respect distance
-nurse/client relationship is key
-group therapy is most helpful
Which personality disorder is characterized by:
-mistrust of others
-hypersensitivity
-rigid
paranoid
What are the most helpful nursing interventions related to paranoid PD
-try to strengthen self-confidence
-try to improve reality testing
-increase security
Which personality disorder is characterized by:
--oddities of thought, perception, speech
--social isolation
--inapropriate affect
schizotypal
Which personality disorder is characterized by:
--behaviors are violations of the law, mores, and customs
--premiscuous
--know right/wrong
--can't delay pleasure
--lack loyalty
--disregard others
antisocial
Which personality disorder is characterized by:
--manipulative
--runs b/t normal & psychotic
--uses "splitting"
borderline
What strategy is used on manipulative behavior
limit setting
Which personality disorder is characterized by:
--overly dramatic
--crave attention
--manipulative
--seductive w/ opposite sex
--provacative
histrionic
Which personality disorder is characterized by:
--sense of entitlement
--lack of empathy for others
--may become depressed or suicidal in therapy
--shift values quickly to gain favor
narcissistic
gender identity in which
--a person who wants to become a heterosexual and whose homosexual arousal is a source of distress
ego-dystonic homosexuality
gender identity in which
-there is erotic attraction to and fullfillment with people of both sexes
bisexual
a person who finds sexual stimulation in cross-dressing
transvestite
a person born as a biological male or female belives she or he is not genderly correct
transsexualism
deviant sexual behavior in which unusual acts or fantasies are required for sexual arousal
paraphilia
achieving sexual excitment by substituting an inanimate object for a sexual partner
fetishism
use of children as sex objects
pedophilia
the morbid compulsion to expose the genetials to a member of the opposite sex
exhibitionism
"peeping Tom"
voyeurism
having sex with dead people
necrophilia
rape is identified as an act of......
aggression
type of rape characterized by:
-unpremeditated
-predominant feelings are hatred, anger
-expression of revenge/ retaliation
anger rape
type of rape that is premeditated
-fantasy of welcomed attack
-threatened with weapon to gain control
power rape
sample of stimulant
amphetamies

cocaine
crack
caffeine
stimulants cause....
euphoria

decreased fatigue and appitite
increased energy
what are
opium
morphine
codine
heroin
perodan
demerol
opiates
what does opiate cause
drowsiness, & change in mood
onset of drinking prior to 25
type II alcoholism
AA begun....
1940's
al-anon
a support group for family and spouse of alcoholic