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ANCC Adult Psychiatric and Mental Health NP (PMHNP) Practice Tests & Test Prep by Exam Edge - Free Test


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ANCC Adult Psychiatric and Mental Health NP - Free Test Sample Questions

An air of unconcern displayed by some patients toward their physical symptoms in order to encourage sympathy from others is known as which of the following?





Correct Answer:
belle indifference
the correct answer to the question is "belle indifference."

belle indifference, a term frequently used in psychological and medical contexts, refers to a peculiar behavior displayed by some patients where they exhibit a striking lack of concern or indifference towards what might be considered significant symptoms or health issues. this attitude is not due to a lack of awareness or understanding of the condition, but rather appears as a defense mechanism or coping strategy.

the concept is particularly noted in cases of conversion disorder, a type of somatic symptom disorder. conversion disorder is characterized by the presence of neurological symptoms such as numbness, blindness, paralysis, or fits, which are not consistent with a well-established organic cause and appear to be linked to psychological factors. patients with belle indifference may acknowledge these symptoms but react to them in an unusually nonchalant way which seems disproportionate to the severity of the condition.

the term itself originates from french, meaning 'beautiful indifference.' this demeanor is thought to serve various psychological purposes. for one, it may help reduce anxiety about the symptom itself. the apparent disregard or detachment from the distressing symptoms can act as a protective buffer for the patient's emotional well-being.

furthermore, belle indifference might lead to secondary gains. these gains are the benefits that individuals receive indirectly from being ill, such as increased attention and sympathy from others, or perhaps an excuse to avoid unpleasant tasks or responsibilities. such benefits can reinforce the unconcerned behavior, making it a more entrenched part of how the patient deals with illness or symptoms.

understanding belle indifference is crucial for healthcare providers as it can influence the approach to patient care. recognizing that this behavior may be part of a larger psychological issue can guide clinicians in providing not only physical but also psychological support, aiming for a more holistic treatment approach.