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73 Cards in this Set
- Front
- Back
an expression of psychological stress thru physical symptoms
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somatization
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What are common comorbid conditions to somatization disorders
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anxiety and depression
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What is the course of somatization disorders
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chronic and relapsing
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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.
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somatization disorders
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A disorder in which clients misinterpretes innocent physical sensations as evidence of a serious illness.
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hypochondriasis
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A disorder in which can not be reassured by negative diagnostic test findings and they seek extensive medical care with frustrative results.
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hypochondriasis
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defense mechanism associated with hypochondriasis
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denial and somatization
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A disorder in which is characterized by a duration of at least 6 months with preoccupation of fears of having a serious disease.
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hypochondriasis
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What is the defense mechanism used for pain disorders
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displacement
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What is the defense mechanism used for conversion disorders
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conversion
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What is the defense mechanism used for body dysmorphic disorders
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symbolism and projection
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A disorder in which one is preoccupied with some imaged defect in appearence
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body dymorphic disorder
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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
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conversion disorder
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What are comorbidities associated with conversion disorder?
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major depression
dissociative disorder personality disorder |
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What are comorbidities associated with somatization disorder?
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major depression
panic disorder personality disorder substance dependence |
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What are comorbidities associated with hypochondriasis disorder?
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depressive disorder
anxiety disorder other somatoform disorders |
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What are comorbidities associated with pain disorder?
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anxiety disorder
depressive disorder substance dependence |
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What are comorbidities associated with body dymorphic disorder?
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major depression
obsessive-compulsive disorder social phobias |
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What are the somatoform disorders?
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somatization disorder
hypochondriasis pain disorder body dysmorphic disorder conversion disorder |
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What is a frequent diagnosis associated with somatoform disorders?
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Ineffective coping
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Nurses working with clients with with somatization and dissocitive disorders can expect that these client will fit where on the continuum of psychiological diorders
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moderate to severe
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an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture.
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Personality disorder
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What are the 4 characteristics of personality disorders
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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 |
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Where does personality disorders fall on the continuum
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severe to psychosis
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What are the types of cluster A personality disorders
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paranoid
schiziod schizotypal |
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What are the gender predilection associated with personality disorders
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With all three types, there are more men than women.
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What are the comorbidities associated with paranoid personality disorder
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major depressive disorder
obsessive-compulsive disorder agoraphobia substance use disorder |
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What are the comorbidities associated with schizoid personality disorder
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major depressive disorder
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What are the comorbidities associated with schizotypal personality disorder
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major depressive disorder
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Which personality disorder have characteristics of a pervasive distrust and suspiciousness of other.
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paranoid personality disorder
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Which personality disorder have characteristic of emotional detachment and does not seek out or enjoy close relationships.
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schizoid personality disorder
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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.
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schizotypal
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What are the cluster B personality disorders
(Dramatic, emotional, erratic) |
antisocial
borderline narcissistic histronic |
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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
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tension-building stage
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Which stage in the cycle of violence is characterized by the perpetrator relaeasing built-up tension by brutal and uncontrollable beatings.
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acute battering stage
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Which stage in the cycle of violence is characterized by kind and loving behaviors, expressions or remorse and apologies by the perpetrator.
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honeymoon stage
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What are some basic level nursing interventions for somatoform disorders
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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 |
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disturbances in the normally well intergrated continuum of consciousness, memory, identity, and & perception.
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dissociaive disorders
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existance of 2 or more distinct subpersonalities and the inability to recall important information too expensive to be explained by ordinary forgetfulness.
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dissociative
identity disorder |
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cluster A is classified as....
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odd or eccentric
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cluster B is classified as....
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dramatic, emotional, or erratic
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cluster C is classified as....
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Anxious and fearful
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causes of personality disorders
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genetic and socio-cultural (environment)
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Which personality disorder is characterized by:
-problems w/ relationships -withdrawn/loners -dull/flat affect -indifferent to praise, criticism, or empathy for others |
schizoid
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What are the most helpful nursing interventions related to schizoid PD
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-respect distance
-nurse/client relationship is key -group therapy is most helpful |
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Which personality disorder is characterized by:
-mistrust of others -hypersensitivity -rigid |
paranoid
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What are the most helpful nursing interventions related to paranoid PD
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-try to strengthen self-confidence
-try to improve reality testing -increase security |
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Which personality disorder is characterized by:
--oddities of thought, perception, speech --social isolation --inapropriate affect |
schizotypal
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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
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Which personality disorder is characterized by:
--manipulative --runs b/t normal & psychotic --uses "splitting" |
borderline
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What strategy is used on manipulative behavior
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limit setting
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Which personality disorder is characterized by:
--overly dramatic --crave attention --manipulative --seductive w/ opposite sex --provacative |
histrionic
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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
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gender identity in which
--a person who wants to become a heterosexual and whose homosexual arousal is a source of distress |
ego-dystonic homosexuality
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gender identity in which
-there is erotic attraction to and fullfillment with people of both sexes |
bisexual
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a person who finds sexual stimulation in cross-dressing
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transvestite
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a person born as a biological male or female belives she or he is not genderly correct
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transsexualism
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deviant sexual behavior in which unusual acts or fantasies are required for sexual arousal
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paraphilia
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achieving sexual excitment by substituting an inanimate object for a sexual partner
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fetishism
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use of children as sex objects
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pedophilia
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the morbid compulsion to expose the genetials to a member of the opposite sex
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exhibitionism
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"peeping Tom"
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voyeurism
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having sex with dead people
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necrophilia
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rape is identified as an act of......
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aggression
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type of rape characterized by:
-unpremeditated -predominant feelings are hatred, anger -expression of revenge/ retaliation |
anger rape
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type of rape that is premeditated
-fantasy of welcomed attack -threatened with weapon to gain control |
power rape
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sample of stimulant
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amphetamies
cocaine crack caffeine |
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stimulants cause....
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euphoria
decreased fatigue and appitite increased energy |
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what are
opium morphine codine heroin perodan demerol |
opiates
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what does opiate cause
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drowsiness, & change in mood
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onset of drinking prior to 25
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type II alcoholism
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AA begun....
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1940's
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al-anon
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a support group for family and spouse of alcoholic
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