Author Question: An essential difference between somatic system disorders and dissociative disorders is: a. ... (Read 71 times)

captainjonesify · **on:** Jul 19, 2018

An essential difference between somatic system disorders and dissociative disorders is:

a. Somatic system disorders are under voluntary control, whereas dissociative disorders are unconscious and automatic.
b. Dissociative disorders are precipitated by psychologic factors, whereas somatic system disorders are related to stress.
c. Dissociative disorders are individually determined and related to childhood sexual abuse, whereas somatic system disorders are culture bound.
d. Dissociative disorders entail stress-related disruptions of memory, consciousness, or identity, whereas somatic system disorders involve the expression of psychologic stress through somatic symptoms.

Question 2

A patient says, I know I have a brain tumor despite the results of the magnetic resonance image (MRI). The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day.

Which response by the nurse fosters cognitive restructuring?

a. You do not have a brain tumor. The more you talk about it, the more it reinforces your illogical thinking.
b. Let's see whether any other explanations for your vomiting are possible.
c. You seem so worried. Let's talk about how you're feeling.
d. We'll talk about something else.

briezy · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
The key is the only fully accurate statement. Somatic system disorders are not under voluntary control and are not culture bound.

Answer to Question 2

ANS: B
Questioning the evidence is a cognitive restructuring technique. Identifying causes other than the feared disease can be helpful in changing distorted perceptions. Distraction by changing the subject will not be effective.