Exam 22: Somatoform, Factitious, and Dissociative Disorders

To assess patients effectively,the nurse must understand that the essential difference between somatoform disorders and dissociative disorders is that somatoform disorders:

The medical-surgical nurse working with patients who has a somatoform disorder will find planning is facilitated by the understanding that the patients will probably:

Which presentations suggest the possibility of a factitious disorder? Select all that apply.

You are caring for a child with a history of multiple admissions for recurrent systemic infections,and the child is not improving in the hospital,despite aggressive treatment.A doctor mentions "factitious disorder by proxy." What nursing interventions would be appropriate when this disorder is suspected? Select all that apply.

A patient who is being counseled for somatoform pain disorder states he believes his pain is the result of an undiagnosed injury.He adds that he cannot adhere to his plan for care involving performing his own activities of daily living,walking 20 minutes daily,and using pain medication only at bedtime.He states he feels "like a baby" because his wife and children must provide so much care for him.The nurse understands that it is most important to assess:

The patient lives with her roommate in a condominium.The roommate has observed her leaving the condo wearing seductive clothing quite different from her usual wardrobe and returning 12 to 24 hours later,after which she sleeps for 8 to 12 hours.Episodes have also occurred in which the patient and her roommate have argued about household matters,and the patient has gone to sit on the floor in the corner of the kitchen.While seated there,she has spoken like a young child.The patient's problem can be assessed as being consistent with DSM-IV-TR criteria for:

A patient has blindness related to conversion disorder.Which response would be most appropriate for ensuring adequate nutrition?

A medical inpatient who is being counseled for somatoform pain disorder states he believes his pain is the result of an undiagnosed injury.He adds that he is unable to adhere to his plan for care,which involves performing his own activities of daily living,walking 20 minutes daily,and using pain medication only at bedtime.Which behavior,as charted by staff,would most suggest that he is responding to interventions?