Deck 22: Physical Problems, Psychological Sources

Question 1

The main feature of a factitious disorder is that symptoms are purposefully produced to allow the individual to:

A)Get out of work
B)Assume the sick role
C)Assume control of treatment
D)Get the attention of health care providers

Answer 1

Assume the sick role

Question 2

The client recently witnessed a horrific auto accident.Now she is complaining of double vision,loss of balance,and a constant "lump in her throat." She is exhibiting the signs and symptoms of:

A)Anxiety reaction
B)Behavioral disorder
C)Conversion disorder
D)Posttraumatic stress reaction

Answer 2

Conversion disorder

Question 3

A woman arrives at the hospital complaining of chest pains and shortness of breath.She has come in several times over the past two weeks,and the staff is doubtful that her symptoms are real.What is the first action for the health care team to implement?

A)Complete a history,physical,and diagnostics
B)Arrange for a psychiatric consult
C)Provide discharge instructions and arrange for a follow-up visit
D)Obtain a prescription for an antianxiety agent

Answer 3

Complete a history,physical,and diagnostics

Question 4

The client can acknowledge the possibility that she exaggerates her symptoms,but she continues to hold on to the belief that something is physically wrong,in the face of evidence to the contrary.What is the client's diagnosis most likely to be?

A)Malingering
B)Hypochondriasis
C)A conversion reaction
D)Body dysmorphic disorder

Question 5

In the __________ culture,mental and emotional disorders are expressed as somatoform complaints on the basis of the belief that the body is the property of the ancestors.

A)Japanese
B)Hispanic
C)Southeast Asian
D)Korean

Question 6

Once the acute feelings of illness are resolved,what is an appropriate intervention when treating a client with a psychosocial problem?

A)Avoid expression of feelings as this will provide a relapse of acute symptoms
B)Minimize secondary gains
C)Convey an attitude that such behavior is not acceptable
D)Assist the client to limit social network to avoid additional stress

Question 7

A mother brings her 9-month-old son to the emergency department because he stopped breathing at home.She demands that he receive a full diagnostic work-up.When asked for the name of her pediatrician,she states she has not found one she is satisfied with.The nurse suspects:

A)Projection
B)Malingering
C)Conversion disorder
D)Munchausen's syndrome by proxy

Question 8

The physiological stress response has an effect on:

A)Many body systems
B)Only the nervous system
C)The gastrointestinal system
D)The cardiovascular and respiratory systems

Question 9

Your client is a wife and mother who,in addition to doing most of the household tasks,has a difficult time saying no to helping out with functions at school and church.Based on Fromm's psychodynamic theory,what illness is she more prone to develop?

A)Cardiac problems
B)High blood pressure
C)Alcoholism
D)Gastric ulcer

Question 10

A soldier arrives at the airport after completing a combat assignment.He reports a new-onset blindness but was able to identify his wife in the crowd awaiting passenger arrivals.He is likely experiencing symptoms of:

A)Somatization
B)Hypochondriasis
C)Conversion Disorder
D)Malingering

Question 11

Most psychosomatic problems and somatoform disorders begin in:

A)Puberty
B)Adulthood
C)Childhood
D)Adolescence

Question 12

Which are the essential features of conversion disorders? (Select all that apply. )

A)Preoccupation with fears of disease
B)Deficits in motor function
C)Long history of vague complaints
D)Deficits in sensory function

Question 13

A female client frequently complains of chest pain,has had extensive physiological testing with negative results,and sees several different medical doctors.This client is exhibiting signs and symptoms characteristic of:

A)Hypochondriasis
B)Conversion disorder
C)Body dysmorphic disorder
D)Factitious disorder

Question 14

A client is admitted every month for the past four months to the psychiatric hospital with complaints of suicidal thoughts and a plan when his monthly disability income has been spent.This client is exhibiting signs of:

A)Factitious Disorder
B)Conversion Disorder
C)Hypochondriasis
D)Malingering

Question 15

People who are able to recognize and defuse their stressors early ____ suffer from the physical effects of stress.

A)Never
B)Often
C)Always
D)Seldom

Question 16

The human physiological stress response mechanism is also called the ____ response.

A)Startle
B)Neuroleptic
C)Homeostasis
D)Fight-or-flight

Question 17

La belle indifference is a characteristic that most often is associated with:

A)Anxiety reaction
B)Conversion disorder
C)Depressive disorder
D)Posttraumatic stress reaction

Question 18

The client complains of severe back pain and is excused from work.Later,he is seen water skiing and jogging.These behaviors describe:

A)Malingering
B)Somatization
C)Hypochondriasis
D)A factitious disorder

Question 19

Several studies have demonstrated that significant ____ changes occur in people who display hostile or negative behaviors.

A)Attitudinal
B)Behavioral
C)Gastrointestinal
D)Immune-mediated

Question 20

Somatization disorder is a polysymptomatic disorder,which means that the disorder is associated with ____ symptoms.

A)Few signs and
B)Polymorphic
C)Many signs and
D)Specific signs and

Question 21

Which of the following are indicative of hypochondriasis? (Select all that apply. )

A)Symptoms most commonly appear in early childhood
B)First diagnosed following a severe stressor
C)More frequent in person exposed to a serious illness in childhood
D)Sufferers usually have strained interpersonal relationships

Question 22

In the past,disorders that were emotionally related to physical problems were called __________ illnesses.

Question 23

__________ is the biochemical fight-or-flight response that is a survival tool against stressors.