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    NUR 205 A- Mental Health Final Proctored Exam- Winter- Swedish Institute

    The nurse is aware that a person who repeatedly seeks cosmetic surgery to correct a perceived flaw in his or her appearance may have which disorder?

    Explanation & Rationale

    Body Dysmorphic Disorder (BDD) is an obsessive-compulsive related disorder characterized by a distressing preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others. This preoccupation leads to repetitive behaviors (e.g., mirror checking, excessive grooming) or mental acts that significantly impair the individual's social or occupational functioning. Rationale: A. Individuals with body dysmorphic disorder (BDD) often seek non-psychiatric medical treatments, such as cosmetic surgery or dermatological procedures, to fix the perceived flaw. However, because the underlying issue is psychological and related to distorted body image, surgery rarely provides lasting satisfaction and may actually worsen the symptoms or lead to a new focus on a different body part. B. Hoarding disorder involves persistent difficulty discarding or parting with possessions, regardless of their actual value. This disorder is driven by a perceived need to save items and the distress associated with discarding them, which has no clinical connection to physical appearance or cosmetic surgery. C. Pyromania is an impulse-control disorder characterized by deliberate and purposeful fire-setting on more than one occasion. The motivation is related to an internal tension or affective arousal before the act and relief or gratification afterward, rather than body image. D. Body Integrity Identity Disorder (BIID), also known as Amputee Identity Disorder, is a rare condition where individuals feel that a healthy limb or functional part of their body does not belong to them. While it involves a desire for surgical intervention (specifically amputation), it is distinct from BDD, which focuses on flaws in appearance rather than the fundamental ownership of a body part.

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