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PTP Answer Somatic Disorders

The document provides scenarios describing different somatic and dissociative disorders and behaviors associated with each. It then asks students to match each scenario with the appropriate disorder and primary nursing diagnosis. The disorders included are somatic symptom disorder, factitious disorder, conversion disorder, illness anxiety disorder, generalized amnesia, dissociative amnesia with fugue, localized amnesia, depersonalization-derealization disorder, selective amnesia, and dissociative identity disorder. Students are to use a provided handout to make their assignments.

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dibia collins
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83 views3 pages

PTP Answer Somatic Disorders

The document provides scenarios describing different somatic and dissociative disorders and behaviors associated with each. It then asks students to match each scenario with the appropriate disorder and primary nursing diagnosis. The disorders included are somatic symptom disorder, factitious disorder, conversion disorder, illness anxiety disorder, generalized amnesia, dissociative amnesia with fugue, localized amnesia, depersonalization-derealization disorder, selective amnesia, and dissociative identity disorder. Students are to use a provided handout to make their assignments.

Uploaded by

dibia collins
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Seeing “All” of Me: Recognizing Somatic Disorders

DIRECTIONS
 Divide the students into groups of three or four.
 Using the student handout, the group must determine which behaviors listed apply to the
listed somatic disorder and determine a primary nursing diagnosis.
 A student handout is provided at the end of the document and answers are shown below.

Behaviors Associated With Somatic Symptom Disorders

Scenario Somatic Disorder and

Nursing Diagnosis

Fred is overweight, has diabetes, and recently had a mild heart attack. Psychological
The doctor told him that he must make changes in his diet, or he will factors affecting
have another, more serious heart attack from which he may not medical condition
recover. Fred ignores his doctor’s advice and says, “There’s not
anything wrong with the way I eat!” The psychiatric home health nurse
develops a care plan for Fred. Ineffective denial

Phyllis lives alone. She has no close relatives or friends, and she is Factitious disorder
very lonely. She presents to the emergency department with blood in
her urine. She reports to the admitting nurse that she has had a rare
bleeding disorder since childhood. On her third hospital day, she is Ineffective coping
recognized by a consulting physician from another hospital, who tells
the nurse that Phyllis was seen for the same reason at his hospital just
3 weeks ago. A search of Phyllis’s belongings reveals a large
container of anticoagulant medication. When she is questioned about
it, she admits to having taken a large dose. She has been transferred
to the psychiatric unit.

Franklin is assigned to secure a contract for his company. The boss Conversion disorder
tells Franklin, “If we don’t get this contract, the company may have to
fold.” When Franklin wakes up on the morning of the negotiations, he
is unable to see. The doctor in the emergency department has ruled Disturbed sensory
out organic pathology. Franklin is transferred to the psychiatric unit. perception

Sarah has had what she calls a “delicate stomach” for years. She has Somatic symptom
sought out many physicians with complaints of nausea and vomiting, disorder
abdominal pain, bloating, and diarrhea. No organic pathology can be
detected. She has been admitted to the psychiatric unit and says to
the nurse, “This is ridiculous. I don’t belong here with these crazy
people. I need to be on the medical floor!” Ineffective coping

John’s father died of a massive myocardial infarction when John (now Illness anxiety
age 34) was 15 years old. The two of them were playing basketball at disorder
the time. Since then, John becomes panicky when he feels his heart
beating faster than usual. He takes his pulse several times a day and
gets a physical examination several times a year. He has been Fear
referred to the psychiatric nurse practitioner in the mental health clinic.

Behaviors Associated with Dissociative Disorders

Scenario Dissociative Disorder

A young man is brought into the emergency department by the police. Generalized
He does not know who he is or anything at all about his life. amnesia

A young man is brought into the emergency department by the police. Dissociative
He gives his identity and home address (which is several hundred amnesia with
miles away) to the admissions clerk. He tells the nurse he is dissociative fugue
frightened, because he doesn’t know when or how he came to be in
this place.

Sandra is a clerk in an all-night convenience store. Three nights ago, Localized amnesia
the store was robbed at gunpoint, and Sandra was locked in a storage
compartment for several hours until the manager was contacted by
passersby who reported the robbery. She has been unable to recall
the incident until just today, when details began to emerge. She is now
able to report the entire event to the authorities.

Sam is a salesperson for a leading manufacturing company. His job Depersonalization-


requires that he make presentations for large corporations that are derealization
considering Sam’s company product. Sam is up for promotion and disorder
realizes that the outcomes of these presentations will weigh heavily on
whether he gets the promotion. Lately, he has been worried that he is
going insane. Each time he is about to make a presentation, his
thinking becomes “foggy,” his body feels lifeless, and he describes the
feeling as being somewhat “anesthetized.” These episodes sometimes
last for hours and are beginning to interfere with his performance.

Melody’s husband complained of severe chest pain. Melody called the Selective amnesia
ambulance and accompanied her husband to the hospital. He died of
a massive myocardial infarction in the emergency department. With
the help of family and friends, Melody made arrangements for the
memorial service and the burial. Now that it is all over, Melody is able
to remember only certain aspects about what has occurred since her
husband first experienced the severe pain. She remembers the doctor
telling her that her husband was dead, but she cannot remember
attending the funeral service.

Margaret explains to the nurse that during the last year, she has had Dissociative identity
periods of time for which she cannot account. She has been attending disorder
college, and she finds pages of notes in her notebook that she cannot
recall writing. Her roommate recently recounted an incident that took
place when they were supposedly out together, for which Margaret
has no recall. Recently, she was hospitalized when her roommate
found her unconscious in their room with an empty bottle of sleeping
pills beside her. She tells the nurse she has no memory of taking the
pills.

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