Somatic Symptom Quiz

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Questions and Answers

At what age does conversion disorder usually occur?

Between 20 and 40 years
Between 5 and 25 years
Between 10 and 35 years (correct)
Between 30 and 50 years

When do clients with somatic symptom disorder often experience symptoms?

In childhood
In old age
In early adulthood
In adolescence (correct)

At what age may diagnoses of somatic symptom disorder be made?

Childhood (below 10 years of age)
Adolescence (around 15 years of age)
Early adulthood (about 25 years of age) (correct)
Late adulthood (above 60 years of age)

When are pain disorder and illness anxiety disorder likely to occur?

At any age (A) Signup and view all the answers

How long do somatic symptom illnesses typically last?

Decades for many people (B) Signup and view all the answers

When do clients with somatic symptom illness and conversion disorder most likely seek help from mental health professionals?

After exhausting efforts at finding a diagnosed medical condition (B) Signup and view all the answers

What do clients with somatic symptom illnesses tend to believe about the medical establishment?

They tend to be pessimistic and believe their disease could be diagnosed if providers were more competent (C) Signup and view all the answers

According to psychosocial theorists, how do people with somatic symptom illnesses express stress, anxiety, or frustration?

Through physical symptoms (somatization) (B) Signup and view all the answers

What is the typical behavior of clients with somatic symptom illnesses in seeking relief of symptoms?

They tend to go from one physician or clinic to another, or they may see multiple providers at once (A) Signup and view all the answers

When are clients with illness anxiety or pain disorder unlikely to receive treatment in mental health settings?

Unless they have a comorbid condition (D) Signup and view all the answers

What are primary gains in somatization?

Direct internal benefits of being sick (B) Signup and view all the answers

What is alexithymia in the context of somatic symptom illnesses?

Inability to identify emotions (B) Signup and view all the answers

What is the association between somatization and gender?

It is associated with women (D) Signup and view all the answers

What role do cultural considerations play in shaping somatic symptoms?

They influence the type and frequency of somatic symptoms (D) Signup and view all the answers

What is the term for external benefits received from others due to illness?

Secondary gains (D) Signup and view all the answers

What is visceral hypersensitivity associated with in patients with functional GI disorders?

Severity of gastrointestinal symptoms (D) Signup and view all the answers

What do cultural concepts of distress include?

Koro in Southeast Asia (B) Signup and view all the answers

What is the belief associated with Koro in Southeast Asia?

The belief that the penis is shrinking and will disappear into the abdomen, causing death (C) Signup and view all the answers

Why is understanding cultural concepts of distress essential in providing effective care?

To support individuals experiencing somatic symptoms (D) Signup and view all the answers

What is the role of cultural considerations in healthcare?

They play a crucial role in shaping the expression and interpretation of somatic symptoms (B) Signup and view all the answers

What is the focus of treatment for clients with somatic symptom illnesses?

Managing symptoms and improving quality of life (A) Signup and view all the answers

What type of therapy has shown evidence of improved physical and emotional health for clients with somatic symptom disorder and anxiety illness disorder?

Cognitive–behavioral group therapy (A) Signup and view all the answers

What is the overall goal of cognitive–behavioral group therapy for clients with somatic symptom illnesses?

Offering peer support, sharing methods of coping, and perceiving and expressing emotions (C) Signup and view all the answers

What has been effective for clients with somatic illness or symptoms according to Hedman et al. (2016)?

Reading internet-based educational material and books (A) Signup and view all the answers

How long do somatic symptom disorder, illness anxiety disorder, and pain disorder often last, according to Black & Andreasen (2016)?

Many years, with clients reporting being in poor health (C) Signup and view all the answers

What is the theoretical causation of somatic symptom illnesses?

Unclear, with multiple factors involved (A) Signup and view all the answers

Why is it important not to dismiss medical complaints of clients with somatic symptom illnesses?

To ensure proper care and support for the client (C) Signup and view all the answers

What is the nurse's response when the client says, 'You know I’m in pain. Why won’t you do anything. Why do you let me suffer'?

Provide empathy and sensitivity to the client’s physical complaints (D) Signup and view all the answers

What is contraindicated for clients with pain disorder, despite suffering unremitting pain?

Powerful analgesics such as narcotics (D) Signup and view all the answers

What has been effective for clients with somatic symptom disorder, according to Hedman et al. (2016)?

Cognitive–behavioral therapy (C) Signup and view all the answers

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Study Notes

Understanding Somatization and Cultural Considerations

Somatization and internalization are unconscious defense mechanisms, where individuals express emotional distress through physical symptoms without consciously controlling it.
People with somatic symptom illnesses have difficulty expressing emotions verbally and may experience alexithymia, the inability to identify emotions.
In situations involving conflict or emotional stress, their physical symptoms may worsen, meeting psychological needs for security, attention, and affection through primary and secondary gain.
Primary gains are direct internal benefits of being sick, while secondary gains are external benefits received from others due to illness.
Somatization is associated with women, potentially linked to societal factors, such as men being taught to be stoic and women seeking medical treatment more often.
Clients with somatoform disorders have difficulty regulating and interpreting stimuli, amplifying awareness of physical symptoms and experiencing them as more intense and disturbing.
Visceral hypersensitivity is associated with the severity of gastrointestinal symptoms in patients with functional GI disorders.
Cultural considerations influence the type and frequency of somatic symptoms, with pseudoneurologic symptoms in Africa and South Asia, and male reproduction-related symptoms in certain cultures.
Cultural concepts of distress include Koro in Southeast Asia, falling-out episodes in the southern United States and the Caribbean, Hwa-Byung in Korea, and Sangue dormido in Portuguese Cape Verde Islanders.
These cultural concepts are characterized by unique beliefs and symptoms, such as the belief that the penis is shrinking and will disappear into the abdomen, causing death in Koro.
Understanding cultural concepts of distress is essential in providing effective care and support for individuals experiencing somatic symptoms.
Cultural considerations also play a crucial role in shaping the expression and interpretation of somatic symptoms, highlighting the importance of cultural competence in healthcare.

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