NSG 221 - Mental Health Nursing
Exam 3
Question:
What nursing intervention is priority for patients with illness anxiety disorder (hypochondriasis)?
Answer:
acknowledge client's concerns/frustrations without continuing to focus on the physical symptoms/illness
Question:
primary gain of somatic symptom illnesses
Answer:
direct internal benefits of being sick such as relief of anxiety, conflict, or distress
- / 3
Question:
secondary gain of somatic symptom illnesses
Answer:
external or personal benefits received from others because of the illness (money, back rub, food) (bigger better deal)
Question:
cultural considerations for somatic symptom illnesses
Answer:
- burning hands and feet are common for Africans and Southern Asians
- falling-out episodes - southern US, Caribbean
- dhat (concern about loss of semen) in Indian men
- Hwa-Byung (suppressed anger causes insomnia, panic) in Korea
Question:
treatment of somatic symptom illnesses
Answer:
- SSRIs
- symptom management
- referral to chronic pain clinic
- therapy groups
- education 2 / 3
Question:
La belle indifference
Answer:
- lack of emotional concern about symptoms
- seen in conversion disorder patients
Question:
expected outcomes for somatic symptom illnesses
Answer:
- identify relationship between stress and physical symptoms
- verbally express emotions/feelings
- establish a daily routine
- demonstrate alternate ways to deal with stress (relaxation, guided imagery)
- demonstrate healthy behaviors regarding rest, activity, and nutrition
- / 3