Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Describe theories that aid in the understanding of dissociative, somatoform, and factitious disorders.

Question 3

Type: MCSA

The nurse finds that the client with a pain disorder has been in a physically and verbally abusive relationship. The client feels guilty and fears a loss of love. According to psychoanalytic concepts, this is believed to be a(n):

1. Unconscious conflict from childhood that was reawakened in adulthood by a similar situation.

2. Environmental factor.

3. Stress related to relationships.

4. Brain abnormality.

Correct Answer: 1

Rationale 1: The psychosocial theory addresses the psychoanalytic concepts of a repressed affect that is transformed into pain. Brain abnormality as an explanation of the pain disorder reflects biologic theory. Stress related to relationships as an explanation of the pain disorder derives from a humanistic view. Environmental factors are a component of the genetic theory.

Rationale 2: The psychosocial theory addresses the psychoanalytic concepts of a repressed affect that is transformed into pain. Brain abnormality as an explanation of the pain disorder reflects biologic theory. Stress related to relationships as an explanation of the pain disorder derives from a humanistic view. Environmental factors are a component of the genetic theory.

Rationale 3: The psychosocial theory addresses the psychoanalytic concepts of a repressed affect that is transformed into pain. Brain abnormality as an explanation of the pain disorder reflects biologic theory. Stress related to relationships as an explanation of the pain disorder derives from a humanistic view. Environmental factors are a component of the genetic theory.

Rationale 4: The psychosocial theory addresses the psychoanalytic concepts of a repressed affect that is transformed into pain. Brain abnormality as an explanation of the pain disorder reflects biologic theory. Stress related to relationships as an explanation of the pain disorder derives from a humanistic view. Environmental factors are a component of the genetic theory.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Describe theories that aid in the understanding of dissociative, somatoform, and factitious disorders.

Question 4

Type: MCSA

The nurse is presenting an in-service on dissociative disorder. The nurse knows that which of the following is most often used to explain the occurrence of dissociative disorder in psychiatric clients?

1. Psychosocial theories

2. Biological theories

3. Genetic theories

4. Physical theories

Correct Answer: 1

Rationale 1: Although biologic and genetic factors are being studied as potential etiological factors, psychosocial theories are used most often to explain dissociative disorders.

Rationale 2: Although biologic and genetic factors are being studied as potential etiological factors, psychosocial theories are used most often to explain dissociative disorders.

Rationale 3: Although biologic and genetic factors are being studied as potential etiological factors, psychosocial theories are used most often to explain dissociative disorders.

Rationale 4: Although biologic and genetic factors are being studied as potential etiological factors, psychosocial theories are used most often to explain dissociative disorders.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Describe theories that aid in the understanding of dissociative, somatoform, and factitious disorders.

Question 5

Type: MCSA

A client is being seen in the clinic for right-hand paresthesia that the client does not seem to be overly concerned about. The condition developed abruptly after being caught cheating on an exam by the teacher. The paresthesia also ended abruptly as well. Which symptom most clearly relates to la belle indiffrence?

1. Being caught cheating on the exam

2. Right-hand paresthesia

3. Lack of concern over the paresthesia

4. Paresthesia beginning and ending abruptly

Correct Answer: 3

Rationale 1: La belle indiffrence describes a relative lack of concern over a physical problem like a paresthesia. La belle indiffrence does not refer to the nature of the physical problem or the course of the problem; therefore, the paresthesia itself and its abrupt onset and conclusion are not symptoms of la belle indiffrence. The client may or may not be concerned about being caught cheating on the exam, but that is not a physical problem.

Rationale 2: La belle indiffrence describes a relative lack of concern over a physical problem like a paresthesia. La belle indiffrence does not refer to the nature of the physical problem or the course of the problem; therefore, the paresthesia itself and its abrupt onset and conclusion are not symptoms of la belle indiffrence. The client may or may not be concerned about being caught cheating on the exam, but that is not a physical problem.

Rationale 3: La belle indiffrence describes a relative lack of concern over a physical problem like a paresthesia. La belle indiffrence does not refer to the nature of the physical problem or the course of the problem; therefore, the paresthesia itself and its abrupt onset and conclusion are not symptoms of la belle indiffrence. The client may or may not be concerned about being caught cheating on the exam, but that is not a physical problem.

Rationale 4: La belle indiffrence describes a relative lack of concern over a physical problem like a paresthesia. La belle indiffrence does not refer to the nature of the physical problem or the course of the problem; therefore, the paresthesia itself and its abrupt onset and conclusion are not symptoms of la belle indiffrence. The client may or may not be concerned about being caught cheating on the exam, but that is not a physical problem.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity