Term
| Describe the difference between primary and secondary gain |
|
Definition
Primary gain is a decrease in anxiety that results from some effort made to deal with the stress
Secondary Gain: is the advantage, other than reduced anxiety that occurs as a result of the sick role |
|
|
Term
|
Definition
| Used to describe a person who has many recurrent complaints with no organic basis; or exaggerated physical complaints: EX person complains of chest pain but has a normal ECG and normal cardiac enzymes |
|
|
Term
|
Definition
| The belief in and fear of having a disease, including misinterpretation of physical signs as "proof" of the presence of the disease: Example: a client has a rash that is quite minor but insists that he has a serious disease such as lupus |
|
|
Term
| An air traffic controller suddenly develops blindness. All physical findings are negative. The clients history reveals increased anxiety about job performance and fear about job security/ What type of disorder is this? what purpose is the blindness serving? what nursing interventions are indicated? |
|
Definition
| Conversion Reaction; decrease the anxiety about job; assist with ADLS; encourage expression of anger, teach relaxation tech, and assist with the identification of anxiety r/t job security and performance |
|
|
Term
| A 29 yr old secretary, who is obses, has visited seven different doctors in the past years with a complaint of chest pain and SOB. She is certain she is having a heart attack in spite of the HCP reassurance that all tests are normal. What type of disorder is this? what nursing actions are indicated? |
|
Definition
| Hypochondriacal disorder; decrease anxiety teach relaxation tech, explore relationship btwn the symptoms and past experiences with heart disease; focus interactions away from bodily concerns |
|
|
Term
| Five years ago a woman was involved in a motor vehicle accident that killed her friend who was a passenger in the car she was driving. Since that time, she has bee unable to work because of severe back pain. The pain is unrelived by prescribed meds. what type of disorder is this? What are the contributing causes? describe nursing care |
|
Definition
| Somatization disorder; unresolved gried, anxiety; evaluate pain med use or abuse; document duration and intensithy of pain; assist client to indentify precipitating factors r/t request for med |
|
|
