Page 2256 - Saunders Comprehensive Review For NCLEX-RN

violence, aggression, sexual behavior, orderliness, or
religion and uncontrollably can interrupt conscious
thoughts and the ability to function.
C. Compulsive behavior patterns (behaviors or rituals)
1. Compulsive behavior patterns decrease the anxiety.
2. The patterns are associated with the obsessive
thoughts.
3. The patterns neutralize the thought.
4. During stressful times, the ritualistic behavior
increases.
5. Defense mechanisms include repression,
displacement, and undoing.
D. Related disorders
1. Hoarding disorder
2. Excoriation (skin-picking) disorder
3. Substance- or medication-induced obsessive-
compulsive and related disorder
4. Obsessive-compulsive and related disorder due to
another medical condition
5. Trichotillomania (hair-pulling disorder)
E. Interventions (Box 65-4)

VI. Somatic Symptom and Related Disorders
A. Description
1. Somatic symptom disorders are characterized by a
combination of persistent worry or complaints and an
associated maladaptive response regarding physical
illness without supportive physical findings and
medical diagnosis.
2. The client focuses on the physical signs and symptoms
and is unable to control the signs and symptoms.
3. The physical signs and symptoms increase with
psychosocial stressors and result in a high level of
functional impairment.
4. The anxiety is redirected into a somatic concern.

5. The client may unconsciously somatize for

secondary gains, such as increased attention and
decreased responsibilities.

B. Conversion disorder (functional neurological symptom

disorder)
1. Description
a. The sudden onset of a neurological
symptom or a deficit in the absence of
a neurological cause or diagnosis.
b. Conversion disorder is an expression of

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