All the following are psychosomatic disorders except:

IGNOU PB Bsc Nsg.Entrance-2026

Mental Health Nursing

Medium

Appeared in: IGNOU PB Bsc Nsg.Entrance-2026

Explanation

Pancreatitis is the correct answer as it is not classified as a psychosomatic disorder.
It is an inflammatory condition of the pancreas with well-defined physical and metabolic causes.
The primary causes include gallstones (which can block the pancreatic duct) and chronic heavy alcohol use.
Unlike the other options, psychological stress is not considered a primary etiological factor in the development of pancreatitis.

Option A: Hypertension (specifically essential hypertension) is a classic example of a psychosomatic disorder. Chronic psychological stress can lead to sustained activation of the sympathetic nervous system, contributing to elevated blood pressure.
Option B: Peptic ulcer disease is considered a psychosomatic disorder. While Helicobacter pylori infection is a major cause, psychological stress is a significant contributing factor that can increase gastric acid secretion and impair mucosal defense, worsening the condition.
Option C: Migraine is another condition strongly linked to psychological factors. Stress is one of the most common and potent triggers for migraine attacks in susceptible individuals.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification and differentiation of psychosomatic disorders from other medical conditions as background academic context rather than a clinical decision trigger.
This concept underscores the importance of holistic nursing assessment. Nurses must assess not only physical symptoms but also the patient's psychological state, stress levels, and coping mechanisms, as these can directly impact their physical health.
Recognizing the psychosomatic nature of certain illnesses allows nurses to implement stress-reduction techniques (like mindfulness, relaxation exercises) as part of the care plan, which can improve patient outcomes.
What if? If a patient with hypertension reports high levels of work-related stress, the nursing intervention should extend beyond medication administration to include stress management education and referral to counseling services. Ignoring the psychological component would result in incomplete care.

How to Approach the Question

First, identify the keyword 'except'. This tells you that three of the options belong to a specific category, and one does not.
Next, define the category mentioned in the stem: 'psychosomatic disorders'. Recall that these are physical illnesses caused or worsened by mental factors like stress.
Evaluate each option: Consider the primary causes of Hypertension, Peptic ulcer, Migraine, and Pancreatitis.
Ask yourself for each option: 'Is psychological stress a major cause or trigger for this condition?'
You will find that stress is a well-known factor for Hypertension, Peptic ulcer, and Migraine.
Pancreatitis stands out as its main causes are physical (gallstones, alcohol), not psychological. This makes it the correct exception.

Concept Tested & Keywords

Concept Tested: Identification and differentiation of psychosomatic disorders from other medical conditions.
Stem keywords: psychosomatic disorders, Hypertension, Peptic ulcer, Migraine, Pancreatitis
Lead-in keywords: except
Negative lead-in flag: The question uses the word 'except', asking you to find the option that does not fit the category of psychosomatic disorders.

QaDmjoOHLplxkrupmrnvvV

E6 Medicine Davidson Principles Practice 24e p. 1222-1224

E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 1 (pp 26-289 of 579) p. 251-253