Exam 11: Somatoform, Factitious, and Dissociative Disorders

A diagnosis of dissociative identity disturbance has been identified for a patient who has stated that he is unable to distinguish between himself and his surroundings.What is an appropriate outcome for this patient?

What discharge criteria would be appropriate for a patient with a somatization disorder? Select all that apply.

A patient comes to the ED stating that he suddenly became deaf.It is determined that his wife has recently asked for a divorce.What is the basis for the possibility that this patient is experiencing a conversion disorder?

Which question would the nurse performing an admission interview for a patient with suspected dissociative amnesia disorder identify as a priority?

A patient who inaccurately believes he has stomach cancer is recommended cognitive theory to help address this false believe.Which intervention is most consistent with a cognitive theory approach?

A patient is being evaluated for the diagnosis of hypochondriasis.Which assessment observation of the patient would serve to confirm this diagnosis?

Which nursing assessment finding would support a diagnosis of somatoform disorder?

A patient reports severe pain during intercourse since being sexually assaulted three years ago.What is the first step in confirming the diagnosis of a pain disorder?

A patient has a somatization disorder.Which statement by the patient would indicate a need for additional patient teaching?

A family member asks the nurse about possible medications to treat somatization disorders.Which statement by the nurse shows an understanding of the recognized medication therapy for this disorder?

Which adult patient is most likely a candidate for the diagnosis of factitious disorder?

A patient experiencing the sudden onset of blindness is diagnosed with a conversion disorder.Which nursing intervention would be most therapeutic?

The ED nurse is caring for a patient with a dissociative fugue.Which assessment finding would support this diagnosis?

A patient has developed an acute loss of hearing and is diagnosed with a conversion disorder.Which nursing diagnosis would be most appropriate?

The nurse is evaluating a patient diagnosed with a dissociative disorder for discharge criteria.Which statements made by the patient indicate that discharge criteria have been met? Select all that apply.

To differentiate between somatoform and conversion disorders,the nurse will direct the assessment to determine the presence of the critical defining factor associated with conversion disorder.Which is true about a conversion reaction?

A patient is diagnosed with body dysmorphic disorder.Which question assesses for the presence of a common co-morbid mental disorder?

A patient is being treated for somatoform disorder with psychotherapy and medication therapy.Which interventions are appropriate for the patient's plan of care? Select all that apply.

A nurse interviews a 17-year-old patient and notes these assessment data: excessive grooming,checking in the mirror,and preoccupation with perceived physical imperfections.The nurse suspects:

The nurse reinforces the recommendation of group therapy for a patient with a somatization disorder.What knowledge is this recommendation based upon?