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NURS |! 665 |! exam |! 2 |! with |! precise |!
detailed |! solutions
dissociative |! amnesia |! - |! Correct |! answer |! ✔a |! sudden |! loss |! of |! memory |! for |! important |! personal |! information |! that |! is |! too |! extensive |! to |! be |! due |! to |! normal |! forgetting. localized |! amnesia |! - |! Correct |! answer |! ✔Failure |! to |! recall |! events |! during |! a |! circumscribed |! period |! of |! time. selective |! amnesia |! - |! Correct |! answer |! ✔The |! inability |! to |! recall |! only |! certain |! incidents |! associated |! with |! a |! traumatic |! event |! for |! a |! specific |! period |! following |! the |! event. generalized |! amnesia |! - |! Correct |! answer |! ✔total |! inability |! to |! recall |! any |! aspect |! of |! one's |! life. continuous |! amnesia |! - |! Correct |! answer |! ✔failure |! to |! recall |! successive |! events |! as |! they |! occur systemized |! amnesia |! - |! Correct |! answer |! ✔failure |! to |! recall |! certain |! categories |! of |! information
During |! a |! mental |! examination |! of |! dissociative |! amnesia, |! if |! pt |! answers |! yes |! to |! any |! of |! the |! questions, |! what |! 2 |! things |! should |! the |! provider |! do |! next? |! - |! Correct |! answer |! ✔-Ask |! the |! patient |! to |! describe |! the |! event. -Make |! sure |! to |! specify |! that |! the |! symptoms |! does |! not |! occur |! during |! an |! episode |! of |! intoxication. What |! are |! nonclassic |! presentation |! of |! dissociative |! amnesia? |! - |! Correct |! answer |! ✔Depression, |! mood |! swings, |! substance |! abuse, |! sleep |! disturbances, |! Anxiety, |! and |! panic |! attack. What |! are |! differential |! diagnosis |! of |! dissociative |! amnesia? |! - |! Correct |! answer |! ✔Ordinary |! forgetfulness, |! Dementia, |! delirium, |! substance |! related |! amnesia What |! is |! the |! main |! focus |! of |! treatment |! of |! dissociative |! amnesia? |! - |! Correct |! answer |! ✔Restoring |! the |! patients |! memory |! loss |! to |! conciousness |! as |! soon |! as |! possible What |! happens |! if |! memory |! is |! not |! restored |! in |! pt |! with |! dissociative |! amnesia? |! - |! Correct |! answer |! ✔The |! repressed |! memory |! may |! form |! a |! nucleus |! in |! the |! unconscious |! mind. Treatment |! of |! Dissociative |! Amnesia |! - |! Correct |! answer |! ✔-Cognitive |! behavioral |! therapy -Hypnosis -group |! Therapy |! ( |! veterans |! w/ |! PTSD)
What |! population |! of |! people |! that |! have |! dissociative |! amnesia |! will |! benefit |! more |! from |! group |! therapy? |! - |! Correct |! answer |! ✔Veterans |! with |! PTSD |! and |! survivors |! of |! childhood |! abuse. Why |! is |! it |! difficult |! to |! assess |! dissociative |! amnesia |! in |! children? |! - |! Correct |! answer |! ✔Because |! of |! their |! limited |! ability |! to |! describe |! subjective |! experiences. True |! or |! false.. |! Patient |! with |! dissociative |! amnesia |! symptoms |! can |! spontaneously |! resolve |! if |! removed |! to |! safety |! from |! the |! traumatic |! overwhelming |! circumstance? |! - |! Correct |! answer |! ✔True DSM-5 |! criteria |! (A) |! for |! dissociative |! amnesia |! - |! Correct |! answer |! ✔Inability |! to |! remember |! important |! personal |! information, |! usually |! of |! a |! traumatic |! or |! stressful |! nature, |! that |! is |! too |! extensive |! to |! be |! ordinary |! forgetfulness DSM-5 |! criteria |! (B) |! dissociative |! amnesia. |! - |! Correct |! answer |! ✔The |! symptoms |! cause |! clinically |! significant |! distress |! or |! impairment |! in |! social, |! occuptional, |! and |! other |! important |! areas |! of |! functioning. DSM |! CRITERIA |! (C) |! dissociative |! amnesia. |! - |! Correct |! answer |! ✔The |! amnesia |! is |! not |! explained |! by |! substances, |! or |! by |! other |! medical |! or |! psychological |! conditions DSM |! criteria |! (D) |! dissociative |! amnesia |! - |! Correct |! answer |! ✔The |! disturbance |! is |! not |! better |! explained |! by |! identity |! disorder, |! somatic |! symptoms |! disorder, |! PTSD, |! or |! any |! neurological |! disorder.
Epidemiology |! of |! dissociative |! amnesia |! - |! Correct |! answer |! ✔-Reported |! in |! 2-6% |! of |! the |! general |! population -Men |! and |! women |! equally |! effected. |! -cases |! begin |! to |! be |! reported |! in |! late |! adolescent Etiology |! of |! dissociative |! amnesia |! - |! Correct |! answer |! ✔-Traumatic |! experiences |! such |! as |! physical |! or |! sexual |! abuse |! can |! induce |! the |! disorder. -Most |! cases |! the |! trauma |! is |! caused |! by |! a |! betrayal |! by |! a |! trusted, |! needed |! other. depersonalization/derealization |! disorder |! - |! Correct |! answer |! ✔Individuals |! persistently |! feel |! detached |! from |! their |! own |! mind |! and |! body |! (depersonalization) |! or |! from |! their |! surroundings |! (derealization). Epidemiology |! of |! depersonalization/derealization |! disorder |! - |! Correct |! answer |! ✔Third |! most |! commonly |! reported |! psychiatric |! symptoms |! after |! depression |! and |! anxiety. What |! percent |! of |! the |! population |! experiences |! depersonalization |! and |! derealization? |! - |! Correct |! answer |! ✔19% What |! type |! of |! population |! is |! derealization |! and |! depersonalization |! commonly |! reported |! in? |! - |! Correct |! answer |! ✔-Seizure |! patients, |! migrane |! suffers -with |! use |! of |! psychedelic |! drugs, |! especially |! marijuana, |! LSD, |!
- |! side |! effects |! of |! some |! medications, |! such |! as |! anticholinergics |! agents
What |! are |! some |! helpful |! therapies |! for |! depersonalization |! and |! derealization? |! - |! Correct |! answer |! ✔-Psychodynamic -Cognitive |! behavioral |! Therapy -Hypnotics -Supportive What |! 2 |! medication |! is |! shown |! to |! have |! no |! efficacy |! with |! treating |! depersonalization/derealization? |! - |! Correct |! answer |! ✔Luvox |! and |! lamictal. DSM-5 |! criteria |! for |! depersonalization |! and |! derealization |! - |! Correct |! answer |! ✔Persistent |! recurrent |! experiences |! of |! depersonalization, |! derealization |! or |! both
- |! Reality |! testing |! remains |! intact |! during |! depersonalization |! and |! derealization. Sx |! cause |! sigficant |! distress |! or |! impairment |! in |! social, |! occupational, |! and |! other |! areas |! of |! function -disturbances |! is |! not |! attributed |! to |! drugs, |! or |! other |! medical |! condition. -disturbances |! is |! not |! better |! explained |! by |! other |! mental |! disorders. What |! are |! components |! or |! characteristics |! that |! describe |! experiences |! of |! depersonalization? |! - |! Correct |! answer |! ✔-A |! sense |! of |! bodily |! changes -duality |! of |! self |! as |! being |! an |! observer |! and |! actor -being |! cut |! off |! from |! others |! and |! from |! ones |! emotions -usually |! have |! great |! difficulty |! in |! describing |! what |! they |! are |! feeling.
Dissociative |! Amnesia |! and |! Fugue |! - |! Correct |! answer |! ✔a |! sudden |! loss |! of |! memory |! for |! important |! personal |! information |! that |! is |! too |! extensive |! to |! be |! due |! to |! normal |! forgetting dissociative |! fugue |! - |! Correct |! answer |! ✔disorder |! in |! which |! one |! travels |! away |! from |! home |! and |! is |! unable |! to |! remember |! details |! of |! his |! past, |! including |! often |! his |! identity dissociative |! identity |! disorder |! - |! Correct |! answer |! ✔Characterized |! by |! the |! presences |! of |! two |! or |! more |! identities |! or |! personality |! states. What |! is |! the |! desired |! therapeutic |! outcome |! with |! patients |! with |! dissociative |! identity |! disorder? |! - |! Correct |! answer |! ✔Fusion |! of |! the |! identities. How |! do |! the |! personalities |! or |! identities |! differ |! in |! patients |! with |! dissociative |! identity |! disorder? |! - |! Correct |! answer |! ✔-Each |! Presents |! as |! having |! its |! own |! pattern |! of |! perceiving, |! relating |! to, |! and |! thinking |! about |! the |! environment. -The |! all |! have |! their |! own |! personalities Epidemiology |! of |! dissociative |! identity |! disorder. |! - |! Correct |! answer |! ✔Women |! to |! men |! ratios |! between |! 5 |! to |! 1 |! and |! 9-1 |! in |! diagnosed |! cases. Etiology |! (cause) |! of |! dissociative |! identity |! disorder |! - |! Correct |! answer |! ✔-Linked |! to |! severe |! experiences |! of |! early |! childhood |! trauma, |! usually |! maltreatment. -Physical |! and |! sexual |! abuse |! is |! most |! commonly |! reported.
True |! or |! false |! Patient |! with |! dissociative |! identity |! disorder |! have |! increased |! risk |! taking |! behaviors? |! - |! Correct |! answer |! ✔True. Treatment |! of |! Dissociative |! Identity |! Disorder. |! - |! Correct |! answer |! ✔-CBT |! ( |! may |! lead |! to |! additional |! dysphoria) -Hypnosis |! ( |! can |! often |! reduce |! sx |! I.E |! flashbacks) -Medications- |! SSRI, |! tricyclic, |! MAOI, |! b-blockers -ECT- |! helpful |! in |! ameliorating |! refractory |! mood |! disorders. DSM-5 |! criteria |! of |! dissociative |! identity |! disorder |! - |! Correct |! answer |! ✔A. |! Disruption |! of |! identity |! characterized |! by |! two |! or |! more |! distinct |! personality |! states. |! B. |! Recurrent |! gaps |! in |! recalling |! events |! or |! important |! personal |! information |! that |! are |! beyond |! ordinary |! forgetting |! C. |! Symptoms |! are |! not |! part |! of |! a |! broadly |! accepted |! cultural |! or |! religious |! practice, |! and |! are |! not |! due |! to |! drugs |! or |! a |! medical |! condition D. |! In |! children, |! symptoms |! are |! not |! better |! explained |! by |! an |! imaginary |! playmate |! or |! by |! fantasy |! play dissociative |! trance |! disorder |! ( |! dissociative |! episodes) |! - |! Correct |! answer |! ✔Altered |! state |! of |! consciousness |! in |! which |! people |! firmly |! believe |! they |! are |! possessed |! by |! spirits; |! considered |! a |! disorder |! only |! where |! there |! is |! distress |! and |! dysfunction brainwashing |! - |! Correct |! answer |! ✔identity |! disturbance |! due |! to |! prolonged |! and |! intense |! coercive |! persuasion.
recovered |! memory |! syndrome |! - |! Correct |! answer |! ✔under |! hypnosis |! a |! pt |! may |! recover |! a |! memory |! that |! was |! repressed |! and |! relive |! it. Ganser |! syndrome |! - |! Correct |! answer |! ✔patient |! responds |! to |! questions |! with |! approximate |! or |! ridiculous |! answers--- |! seen |! mostly |! in |! prison |! population |! = |! dissociative |! disorder |! NOS chronic |! fatigue |! syndrome |! - |! Correct |! answer |! ✔Characterized |! by |! 6 |! months |! or |! more |! of |! severe |! debilitating |! fatigue. chronic |! fatigue |! syndrome |! is |! often |! accompanied |! by |! what |! other |! symptoms? |! - |! Correct |! answer |! ✔Myalgia, |! headache, |! low |! grade |! fever, |! cognitive |! complaints, |! GI, |! tender |! lymph |! nodes, |! sensitivity |! to |! light. How |! is |! the |! diagnosis |! of |! chronic |! fatigue |! syndrome |! made? |! - |! Correct |! answer |! ✔When |! all |! organic |! and |! psychiatric |! causes |! of |! chronic |! fatigue |! illness |! have |! been |! excluded. Are |! there |! any |! pathological |! signs |! or |! diagnostic |! test |! diagnosing |! chronic |! fatigue |! syndrome? |! - |! Correct |! answer |! ✔No what |! is |! the |! difference |! between |! chronic |! fatigue |! symdrome |! and |! Fibromyalgia? |! - |! Correct |! answer |! ✔-CFS |! primary |! symptom |! is |! fatigue |! with |! a |! 6 |! month |! duration, -Fibromyalgia |! primary |! symptoms |! is |! pain |! with |! 3 |! month |! duration.
Treatment |! for |! fibromyalgia |! - |! Correct |! answer |! ✔SSRI, |! SNRI, |! antiepileptic What |! medication |! is |! FDA |! approved |! for |! Fribromyalgia? |! - |! Correct |! answer |! ✔Lyrica What |! medication |! is |! used |! in |! the |! severe |! cases |! of |! fibromyalgia? |! - |! Correct |! answer |! ✔Procaine |! injections |! into |! the |! affected |! area. What |! other |! medications |! can |! be |! used |! in |! the |! treatment |! of |! pain |! in |! fibromyalgia |! patients? |! - |! Correct |! answer |! ✔NSAIDs, |! tyl, |! asa, Functional |! Neurological |! Symptom |! Disorder |! (conversion |! disorder) |! - |! Correct |! answer |! ✔-CD |! is |! defined |! by |! the |! presence |! of |! neurological |! symptoms |! without |! evidence |! of |! organic |! cause. ex: |! seizures |! without |! corresponding |! EEG |! change Identify |! common |! etiologies |! in |! functional |! neurological |! symptom |! disorder |! (conversion |! disorder). |! - |! Correct |! answer |! ✔-Psychoanalytical |! factor -learning |! theory -Biological |! Factors Psychoanalytical |! factor |! ( |! CD |! etiology) |! - |! Correct |! answer |! ✔-The |! physical |! symptoms |! are |! thought |! to |! be |! an |! attempt |! to |! resolve |! a |! psychological |! conflict |! the |! person |! feels |! inside.
|! -I.E |! vaginismus |! protects |! the |! patient |! from |! expressing |! unacceptable |! sexual |! wished. Learning |! theory |! (CD |! etiology) |! - |! Correct |! answer |! ✔-posits |! that |! the |! environment |! shapes |! and |! influences |! behavior. |! With |! resulting |! (Secondary) |! positive |! gain. biological |! factors |! (CD |! etiology) |! - |! Correct |! answer |! ✔-Impaired |! cerebral |! hemispheric |! communication, |! excessive |! cortical |! arousal |! that |! inhibits |! the |! individual's |! awareness |! of |! bodily |! sensations, |! and |! possibly |! subtle |! impairments |! on |! neuropsychological |! tests. Learning |! Theory |! of |! conversion |! disorder |! - |! Correct |! answer |! ✔conditioned |! learning |! theory, |! a |! conversion |! sx |! can |! be |! seen |! as |! a |! piece |! of |! classically |! conditioned |! learned |! behavior. |! I.E |! sx |! of |! illness |! learned |! in |! childhood, |! are |! used |! as |! a |! mean |! of |! coping |! with |! an |! impossible |! situation. factitious |! disorder |! (Munchausen) |! - |! Correct |! answer |! ✔The |! intentional |! creation |! of |! false |! or |! grossly |! exaggerated |! physical |! or |! psychological |! symptoms |! for |! emotional |! gain |! (sympathy) Factitious |! disorder |! treatment |! - |! Correct |! answer |! ✔1) |! to |! reduce |! the |! risk |! of |! morbidity/mortality, |! (2) |! to |! address |! the |! underlying |! emotional |! needs |! or |! psychiatric |! diagnosis, |! and |! (3) |! to |! be |! mindful |! of |! legal/ethical |! issues
W/persistent- |! a |! persistent |! coure |! is |! characterized |! by |! severe |! sx |! marked |! impairment |! and |! long |! duration. severity |! specifiers |! of |! somatic |! symptom |! disorder? |! - |! Correct |! answer |! ✔Mild- |! only |! one |! symptoms |! specified |! in |! criteria |! B |! is |! specified. Moderated- |! two |! or |! more |! sx |! fulfilled |! in |! criteria |! B. severe- |! two |! or |! more |! of |! sx |! in |! criteria |! B, |! plus |! there |! are |! multiple |! somatic |! complaints |! ( |! or |! very |! severe |! somatic |! sx). Treatment |! for |! somatic |! symptom |! disorder |! - |! Correct |! answer |! ✔-Group |! therapy -cognitive |! therapy -behavioral |! therapy, -insight-oriented |! therapy, |! hypnosis psychosomatic |! disorders |! diagnosis/treatment |! - |! Correct |! answer |! ✔-R/o |! physical |! causes |! of |! a |! pt |! sx. -establish |! a |! therapeutic |! alliance |! and |! psychotherapy -Medication |! is |! aimed |! at |! helping |! with |! co-occuring |! mood |! disorders |! and |! providing |! symptomatic |! relief. -usually |! resist |! psychiatric |! tx |! but |! will |! accept |! if |! it |! is |! from |! a |! medical |! setting. -stress |! reduction what |! is |! the |! difference |! between |! illness |! anxiety |! disorder |! and |! somatic |! symptom |! disorder? |! - |! Correct |! answer |! ✔-Illness |! anxiety |! disorder |! emphasizes |! ore |! on |! the |! fear |! of |! having |! a |! dz |! vs. |!
-somatic |! symptom |! disorder |! emphasizes |! more |! concerns |! about |! the |! symptom's. illness |! anxiety |! disorder |! - |! Correct |! answer |! ✔-Characterized |! by |! being |! consumed |! with |! thoughts |! about |! having |! or |! developing |! a |! serious |! medical |! condition
- |! Fear |! of |! physical |! illness Epidemiology |! of |! Illness |! Anxiety |! Disorder |! - |! Correct |! answer |! ✔-4-6% |! of |! the |! general |! population |! reports |! this |! disorder -More |! prevalent |! in |! older |! population |! than |! younger Etiology |! of |! Illness |! Anxiety |! Disorder |! - |! Correct |! answer |! ✔Social |! leaning |! model- |! learned |! behaviors |! that |! is |! observed |! by |! others. pain |! disorder |! - |! Correct |! answer |! ✔a |! psychological |! disorder |! characterized |! by |! clinically |! important |! pain |! whose |! onset |! or |! severity |! seems |! significantly |! affected |! by |! psychological |! factors Explain |! the |! difference |! between |! somatic |! symptom |! disorder |! and |! pain |! disorder? |! - |! Correct |! answer |! ✔-Somatic |! symptoms |! disorder |! are |! characterized |! by |! one |! or |! more |! somatic |! symptom |! that |! are |! distressing |! or |! result |! in |! significant |! disruption |! of |! daily |! life. -Pain |! disorder |! are |! characterized |! by |! the |! presence |! of |! and |! focus |! on |! pain |! in |! one |! or |! more |! body |! sites.
