Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Compare and contrast the biopsychosocial characteristics of various dissociative, somatoform, and factitious disorders.
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Question 6
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Type: MCSA
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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:
2. Primary and secondary gains.
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1. Preoccupation with the belief that the person has a serious disease without physical evidence.
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3. An overreaction by caregivers to the clients somatic complaints.
Correct Answer: 2
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4. A pain cure.
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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
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complaints addresses somatization disorder. A pain cure would be discussed with a pain-
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disordered person. Hypochondriasis is a persons preoccupation with the belief that the person has
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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.
