Somatic Symptom Disorders Quiz
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Somatic Symptom Disorders Quiz

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Questions and Answers

What does psychodynamic theory suggest about illness anxiety disorder?

  • It functions as an ego defense mechanism. (correct)
  • It is a result of cognitive-behavioral patterns.
  • It primarily originates from genetic factors.
  • It is solely due to environmental stressors.

    • In dysfunctional families, how does a child's illness affect family dynamics?

  • It prompts open discussions about family conflicts.
  • It shifts attention from unresolved family issues to the child's illness. (correct)
  • It strengthens family bonds through shared responsibility.
  • It ensures that all family members communicate effectively.

    • What is a primary gain associated with somatic complaints in individuals?

  • Gaining sympathy from peers.
  • Receiving medical treatment.
  • Decreasing levels of anxiety.
  • Avoiding social obligations. (correct)

    • What can lead to the development of pseudoseizures in children from dysfunctional families?

    <p>The need to divert attention from family issues.</p> Signup and view all the answers

    How can experiences with serious illness predispose someone to illness anxiety disorder?

    <p>By creating a learned association with attentiveness.</p> Signup and view all the answers

    What is evidenced by numerous physical complaints in somatic symptom disorder?

    <p>Ineffective coping</p> Signup and view all the answers

    Which outcome demonstrates effective coping in somatic disorders?

    <p>Copes effectively without resorting to physical symptoms</p> Signup and view all the answers

    What nursing care goal is aimed at with somatic symptom disorder?

    <p>Relief of discomfort from physical symptoms</p> Signup and view all the answers

    Which diagnosis is associated with self-care deficit?

    <p>Conversion disorder</p> Signup and view all the answers

    In illness anxiety disorder, what common emotional state is frequently present?

    <p>Fear</p> Signup and view all the answers

    Which of the following is a treatment modality for somatic disorders?

    <p>Cognitive behavior therapy</p> Signup and view all the answers

    What aspect should be evaluated regarding a client's physical symptoms?

    <p>Reduced fears of serious illness</p> Signup and view all the answers

    What does dissociative disorder primarily involve?

    <p>Interruption in consciousness, memory, and identity</p> Signup and view all the answers

    What primarily triggers dissociative responses?

    <p>Overwhelming anxiety</p> Signup and view all the answers

    Which of the following is NOT a characteristic symptom of Depersonalization-Derealization disorder?

    <p>Severe hallucinations</p> Signup and view all the answers

    Which group has a higher prevalence of dissociative disorders?

    <p>Women with a history of abuse</p> Signup and view all the answers

    Which psychological theory describes dissociation as a defense mechanism against painful issues?

    <p>Psychodynamic theory</p> Signup and view all the answers

    What is the experience of detachment from one's body known as?

    <p>Depersonalization</p> Signup and view all the answers

    What kind of symptoms may be experienced by individuals with Depersonalization-Derealization disorder?

    <p>Obsessive thoughts</p> Signup and view all the answers

    Which term refers to the change in perception of the external environment associated with dissociation?

    <p>Derealization</p> Signup and view all the answers

    An example of a dissociative experience might include what scenario?

    <p>Recalling an event while feeling detached from the experience</p> Signup and view all the answers

    What is the primary concern in illness anxiety disorder?

    <p>A fear of acquiring an illness</p> Signup and view all the answers

    Which disorder is characterized by multiple unexplained somatic symptoms associated with psychosocial distress?

    <p>Somatic Symptom Disorder</p> Signup and view all the answers

    What personality characteristics are commonly associated with somatic symptom disorder?

    <p>Heightened emotionality and strong dependency needs</p> Signup and view all the answers

    Which of the following is NOT a predisposing factor for somatic disorders?

    <p>Optimistic personality traits</p> Signup and view all the answers

    Individuals with illness anxiety disorder are typically characterized by what behavior?

    <p>Persistent thoughts about symptom severity</p> Signup and view all the answers

    What is a common complication associated with somatic symptom disorder?

    <p>Drug abuse or dependence</p> Signup and view all the answers

    What is dissociation described as in the psychodynamic theory?

    <p>A repression of distressing mental content</p> Signup and view all the answers

    How do individuals with somatic symptom disorder typically respond to suggestions that psychosocial factors may play a role in their symptoms?

    <p>They may reject this idea outright</p> Signup and view all the answers

    Which of the following is a characteristic of dissociative amnesia?

    <p>Powerlessness</p> Signup and view all the answers

    Which of the following statements best describes conversion disorder?

    <p>It includes physical symptoms that cannot be explained by a neurological condition.</p> Signup and view all the answers

    What is a significant risk associated with Dissociative Identity Disorder (DID)?

    <p>Risk for suicide</p> Signup and view all the answers

    What is a distinguishing feature of somatic symptom disorder compared to other somatic disorders?

    <p>Fluctuating symptoms with periods of remission</p> Signup and view all the answers

    What is one goal of nursing care for clients with dissociative disorders?

    <p>To restore normal thought processes</p> Signup and view all the answers

    What is a characteristic behavior of individuals with illness anxiety disorder?

    <p>Reassurance-seeking about minor symptoms</p> Signup and view all the answers

    Which outcome indicates successful intervention for a client with dissociative disorders?

    <p>Can acknowledge multiple self-identities</p> Signup and view all the answers

    What can clients learn to manage their stress according to the treatment of dissociative disorders?

    <p>By developing alternative coping methods</p> Signup and view all the answers

    Which is a potential outcome for clients experiencing dissociative disorders?

    <p>Verbalizes existence of multiple personalities</p> Signup and view all the answers

    Which symptom is indicative of disturbed sensory perception associated with depersonalization-derealization disorder?

    <p>Visual and kinesthetic disturbances</p> Signup and view all the answers

    Study Notes

    • Somatic Symptom and Related Disorders are characterized by physical symptoms that are accompanied by psychological distress and impairment. These disorders include Somatic Symptom Disorder, Illness Anxiety Disorder, Conversion Disorder, and Factitious Disorder.

    • Theories for Predisposing Factors:

      • Genetic, Biochemical, and Neuroanatomical: These factors may predispose individuals to these disorders.
      • Psychodynamic Theory: Views illness as an ego defense mechanism, suggesting that physical symptoms are a way of coping with anxiety and stress.
      • Family Dynamics: Dysfunctional families may contribute to these disorders by creating a climate where emotional expression is suppressed and somatic symptoms become a way of communicating distress.
      • Learning Theory: Somatic complaints can be reinforced by positive attention, avoidance of responsibilities, and/or relief from conflict.

    Somatic Symptom Disorder

    • Somatic Symptom Disorder is characterized by multiple physical symptoms that are not explained by a medical condition. These symptoms cause significant distress and impairment, leading individuals to persistently seek medical attention.
    • Individuals with Somatic Symptom Disorder are often convinced that their symptoms have an organic cause, rejecting suggestions that stress or psychological factors play a role.
    • The disorder is chronic and can fluctuate with periods of remission and exacerbation.
    • Anxiety, depression, and suicidal ideation are common features of the disorder.
    • Symptoms:
      • Personality characteristics: Heightened emotionality, strong dependency needs, and preoccupation with symptoms.
      • Disproportionate and persistent thoughts about the seriousness of symptoms.
      • High levels of anxiety about health or symptoms.
      • Excessive time and energy devoted to symptoms.
    • Complications: Drug abuse and dependence are common complications. Individuals with Somatic Symptom Disorder may rely on analgesics or anti-anxiety medications for relief.

    Illness Anxiety Disorder

    • Illness Anxiety Disorder is characterized by a preoccupation with having or acquiring a serious illness. This preoccupation stems from a misinterpretation of bodily sensations and changes, leading to excessive anxiety and worry.
    • Individuals with Illness Anxiety Disorder may perform excessive health-related checks or avoid medical care altogether, fearing confirmation of their perceived illness.
    • While there may be minimal or no actual physical symptoms, the fear of illness is a primary concern.

    Conversion Disorder

    • Conversion Disorder refers to the development of neurological symptoms, such as paralysis, blindness, or seizures, without a demonstrable medical explanation. The symptoms are believed to be related to psychological stress that is converted into physical manifestations.
    • The symptoms are often triggered by a traumatic event or extreme stress.

    Factitious Disorder

    • Factitious Disorder is characterized by the deliberate fabrication or exaggeration of physical or psychological symptoms in order to assume the sick role. Individuals feign illness for attention, sympathy, or to avoid responsibilities.
    • This disorder is distinguished from Malingering by the absence of any external gain or benefit from the illness.

    Psychological Factors Affecting Medical Conditions

    • Psychologically influenced medical conditions refer to situations where psychological factors play a significant role in the development, exacerbation, or maintenance of a general medical condition.
    • The focus is on the symptom rather than the underlying medical diagnosis.

    Dissociative Disorders

    • Dissociative Disorders are characterized by disruptions in the usually integrated functions of consciousness, memory, and identity. They involve a separation or detachment from reality.
    • Common Underlying Mechanism: Dissociative responses often occur as a defense mechanism when anxiety is overwhelming.
    • Dissociative Disorders include:
      • Dissociative Identity Disorder
      • Dissociative Amnesia
      • Depersonalization-Derealization Disorder

    Depersonalization-Derealization Disorder

    • Depersonalization-Derealization Disorder is characterized by persistent or recurrent experiences of depersonalization (feelings of detachment from oneself) or derealization (feelings of detachment from the environment).
    • Depersonalization: A disturbance in the perception of oneself, feeling unreal or detached from one's body.
    • Derealization: An alteration in the perception of the external environment, feeling like one's surroundings are unreal or detached.
    • Symptoms: Anxiety, depression, fear of going insane, obsessive thoughts, somatic complaints, and disturbances in the subjective sense of time.

    Dissociative Identity Disorder (DID)

    • Dissociative Identity Disorder (DID) is characterized by the presence of two or more distinct identities or personality states. These identities alternate in controlling the individual's behavior.
    • DID is often linked to a history of severe childhood trauma, with dissociation serving as a means of coping with the traumatic experiences.

    Dissociative Amnesia

    • Dissociative Amnesia is characterized by a loss of memory for personal information, typically related to a traumatic event or stressful period. This memory loss is beyond ordinary forgetfulness.

    Treatment Modalities

    • Treatment for Somatic Symptom and Related Disorders and Dissociative Disorders often involves a combination of therapies:
      • Individual psychotherapy helps individuals explore and understand the underlying psychological factors contributing to their symptoms and develop coping strategies.
      • Group Psychotherapy provides a supportive environment for individuals to share their experiences and learn from others with similar challenges.
      • Cognitive Behavioral Therapy helps individuals identify and change negative thoughts and behaviors that maintain their symptoms.
      • Psychoeducation provides information about the disorder, its causes, and treatment options.
      • Psychopharmacology may be used to manage associated symptoms such as anxiety or depression.

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    Related Documents

    Chapter 20: Somatic Symptom and Dissociative Disorders (PDF)

    Description

    Test your knowledge on Somatic Symptom and Related Disorders, including their characteristics and theories behind predisposing factors. Explore the psychological aspects of these disorders and understand the impact of family dynamics and learning theories.

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