Test Bank forPsychotherapy for the Advanced Practice Psychiatric Nurse, Second Edition: A How-To Gui

Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Compare and contrast the biopsychosocial characteristics of various dissociative, somatoform, and factitious disorders.

Question 6 Type: MCSA The nurse would teach the adolescent with a conversion disorder what the person gets from having the disorder. This explanation would include a discussion of: 1. Preoccupation with the belief that the person has a serious disease without physical evidence.

2. Primary and secondary gains.

3. An overreaction by caregivers to the clients somatic complaints.

4. A pain cure.

Correct Answer: 2 Rationale 1: Primary and secondary gains are the two mechanisms thought to explain what a person gets from a conversion disorder. An overreaction by caregivers to the clients somatic complaints addresses somatization disorder. A pain cure would be discussed with a paindisordered person. Hypochondriasis is a persons preoccupation with the belief that the person has a serious disease without physical evidence.

Rationale 2: Primary and secondary gains are the two mechanisms thought to explain what a person gets from a conversion disorder. An overreaction by caregivers to the clients somatic complaints addresses somatization disorder. A pain cure would be discussed with a paindisordered person. Hypochondriasis is a persons preoccupation with the belief that the person has a serious disease without physical evidence.