Term
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Definition
| Manifestations of psychological distress as physical symptoms that may result in functional changes, somatic descriptions, or both |
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Term
| What are manifestations of somatization? |
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Definition
| Internalization of anxiety, stress and frustration, expression of feelings through physical symptoms, suffers physical symptoms as result of psychological stress |
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Term
| What is the psychobiologic Theory? |
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Definition
| Heightened body sensations, increased autonomic arousal, ID of "patient", perceived need to be sick |
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Term
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Definition
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Term
| What is Cognitive-Behaviroal Theory? |
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Definition
| Anxiety expressed through somatization, cognitive distortions of benign symptoms |
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Term
| What is the Psychoanalytic Theory? |
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Definition
| spychologicl source of ego conflict denied, displacement of anxiety onto physical symptoms |
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Term
| What is the sociocultural Etiology? |
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Definition
| Direction expression of emotions is unacceptable, sick role |
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Term
| What is another name for Somatization Disorder? |
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Definition
| Complex Somatic Symptom Disorder |
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Term
| What are some characteristics for Somatization Disorder? |
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Definition
| History of multiple physical symptoms w/o organic basis, occurs before age 30 and lasts several years, combination of symptoms, new symptoms w. increase emotional stress, tends to run in families, seeks treatment for physical symptoms, lifestyle changes occur |
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Term
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Definition
| Unrealistic fear of serious illness. Preoccupation persists despite medical evaluation and reassurance. Physical symptoms may begin with sensitivity to vague physical sensations or mild physicals symptoms, duration of AT LEAST 6 months, Impaired ability to function |
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Term
| What is Conversion Disorder? also known as? |
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Definition
| Also known as Functional Neurologic Symptoms. Generally characterized by: sensory dysfunction, motor system dysfunction, La Belle Indifference. No organic cause for loss. Often clear, identifiable psychological factor. Symptoms often related to primary gain. |
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Term
| What is Body Dysmorphic Disorder? |
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Definition
| Preoccupation with defect in appearance. Cause a lot of stress and impairment in functioning. Check for defects, avoid reminders, seek reaasurance from others or attempt to improve defect. Often leads to social isolation. Persistent disorder. Associated with depression and suicidal ideation. |
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Term
| What are some nursing diagnoses for Somatic Disorders? |
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Definition
| Fatigue, pain, insomnia, anxiety, ineffective Sexuality Patterns, Ineffective Coping, Ineffective Therapeutic Regimen Management, Impaired Social INteractions, Risk for Caregiver Role Strain, Disabled Family coping |
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Term
| What are nursing interventions? |
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Definition
| Maintain nurse-patient relationship, Counseling, Health teaching, Family interventions |
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Term
| What aspects of counseling are important? |
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Definition
| Encourage identification and expression of feelings, focus on problem solving, assertiveness training, impaired social interaction |
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Term
| Are there effective medicaitons? |
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Definition
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Term
| What are comorbid disorders? |
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Definition
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Term
| What should be given for depression? |
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Definition
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Term
| What should be given for Anxiety? |
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Definition
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Term
| What is the primary objective of Factitious Disorders? |
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Definition
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Term
| Is Factitious Disorders different from Malingering? |
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Definition
| Yes. Malingering is exagerating or faking illness to avoid duty or work. |
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Term
| What is Munchausen Syndrome? What is the motivation? What are the external incentives for behavior? |
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Definition
| Intentional production of feigning of physical or psychological signs or symptoms. Motivation is to assume the sick role. External incentives for behavior are absent. |
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Term
| What are the 3 coded types of Munchausen Syndrome? |
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Definition
| With psychological signs/symptoms, physical signs/symptoms, psychological & physical signs/symptoms |
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Term
| What is Factitious Disorder by Proxy? |
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Definition
| Includes Munchausen syndrome by proxy: Intentional production or feigning of physical or psychological symptoms in another person under individual's care for purpose of indirectly assuming sick role. |
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Term
| What ar assessments for Munchausen? |
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Definition
| Chronology of illnesses, early childhood experiences, family assessment |
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Term
| What are the nursing diagnoses? |
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Definition
| Risk for Trauma, Risk for Self-mutilation, Ineffective Individual Coping, Low Self-Esteem |
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