A patient states she has been ill for several months with stomach pain, headache, and
dizziness. A review of records shows that she has been tested repeatedly for various conditions, yet no clinical diagnosis has been found. She states her pain is “10 out of 10” on a scale of 1 to
10. She has been treated in the past for anxiety and depression. Which condition should the nurse anticipate?
A. Conversion disorder
C. Body dysmorphic disorder
Somatization is characterized by a certain number of symptoms accompanied by significant functional impairment. Pain, gastrointestinal concerns, and psychoneurological symptoms are hallmarks of this condition. Complaints are dramatic and sometimes difficult to clarify. Hypochondriasis results in the misinterpretation of innocent physical sensations as evidence of a serious illness. Conversion disorder is marked by the presence of deficits in voluntary motor or sensory functions, including paralysis, blindness, movement disorder, gait disorder, numbness, paresthesia, loss of vision or hearing, or episodes resembling epilepsy. Body dysmorphic disorder is characterized by a preoccupation with an imagined defective body part, resulting in obsessional thinking and compulsive behavior such as mirror checking and camouflaging.
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